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HomeMy WebLinkAboutX2021-3412 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application o,E� r r ' Comm] Residential City of Newport Beach - Building Division a o NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL rBuilding rGrading rDrainage rElec rMech rPlum Cu Yd Cut Cu Yd Fill Project Address (Not mailing address) r. Flood r Fire r Liq r Landslide rN/A Floor Suite No 17 Swift Ct 201 Newport Beach, Ca 92663 Description of Work YP �--- Use ConstT e — Update to Condo, New Windows, Sliders to Ext. New Flooring, Kitchen, Baths, Fireplace, Wine # Stories # Units (if Res)r . New/Add SF 141 Remodel SF 1578 Garage/New/Add =N/AEal/L ion $ ` r5_6 Q`/'C- - - OWNER'S NAME Last Hacienda Agency Inc First Lucas Coronel. Owner's Address Owner's E-mail Address 7-7935� Ca/!-e- Tc_�_Ptpa(j) 0 Lucas@haciendaagencyinc.com City La Quinta State Ca Zip FET3 Telephone 608312008 APPLICANT'S NAME Last Coronel First Lucas Applicant's Address Applicant's E-mail Address y35r L�1 / am fl Gt7 #ZO ( Lucas@haciendaagencyinc.com City La Quinta State Ca Zip 92253 Telephone 608312008 ARCHITECT/DESIGNER'S NAME Last Lopez-Ocampo First Santiago _ Lic. No. N/A Architect/Designer's Address Architect/Designer's E-mail Address POB 1018 santiagolopezocampo@gmaii.com City La Quinta State Ca Zip 92247 Telephone 604858927 ENGINEER'S NAME Last N/A First F_ Lic. No.F Engineer's Address Engineer's E-mail Address City I State F_— Zip F__ TelephoneF_— CONTRACTOR'S NAME/COMPANY Coronel Homes & Design Inc. Lic. No. 1077054 Class Contractor's Address Contractor's E-mail Address 2760 Madio St eke@coronelhd.com City Indio State Ca Zip P2201 Telephone 605783446 SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $