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HomeMy WebLinkAboutX2021-3366 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit A licatio Fre Comm'( r- Residential pp n IX Building r- Grading City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL r Drainage r- Elec j— Mech Project Address (Not mailing address) f Flood 1 Hoag Dr., Newport Beach, CA 92663 Description of Work New/Add SF OWNER'S NAME Owner's Address 510 Superior Ave., Suite 290 City Newport Beach APPLICANT'S NAME Applicant's Address 10 Edelman Remodel SF Last Quiram Last jDionne City (Irvine ARCHITECT/DESIGNER'S NAME Architect/Designer's Address 10 Edelman City (Irvine ENGINEER'S NAME Engineer's Address 10 Edelman City Irvine State CA State ICA Last (Stephenson Last ►Corsbie CONTRACTOR'S NAME/COMPANY Contractor's Address 13100-B Pullman Street City 1Costa Mesa SETBACKS REAR SETBACKS LEFT USE ZONE State CA Plum Cu Yd Cut r- Fire I— Liq f Landslide Garage/New/Add Zip First (Bill Owner's E-mail Address bill.quiram@hoag.org Zip 92663 Telephone Cu Yd Fill 1-- WA Floor Use ( Contt Type # Stories First (Christopher Applicant's E-mail Address cdionne@waremalcomb.com 92618 Valuation $ Material/Labor Suite No # Units (if Res)7 $7,500 949-355-9268 Telephonel949-660-9128 First (Lon Architect/Designer's E-mail Address Istephenson@waremalcomb.com Zip 92618 Telephone 949.660.9128 First !Lucas Engineer's E-mail Address Icorsbie@waremalcomb.com 92618 Telephone(949-660-9128 State ICA Zip Slater Builders State ICA SETBACKS FRONT SETBACKS RIGHT DEVELOPMENT NO Lic. No. Contractor's E-mail Address bdunlop@slaterbuilders.com Zip 92626 Lic. No. C22710 Lic. No.IC72588 ‘--7-7-2. Class Telephone!(714) 434-4887 PERMIT NO. PLAN CHECK NO. 111914 41471 PLAN CHECK FEES $