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X2017-3203 - Permit Application
Print Form Worksheet for Combo Building & Solar Permit Application o4rEWN ,e Comm'I r Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 5��.0.^" r Building j- Grading F-Drainage F_ Elec (- Mech j— Plum CuYd Cut Cu Yd Fill Project Address (Not mailing address) r Flood F- Fire r Liq r- Landslide rN/A Floor Suite No 700 — 7 © Co . Q(Z K014 (z Q Dk v G7 W& S ( F_ r Description of Work Use F—ConstType F # Stories #Units (if Res) P(Ac.t AVA R-4i'l— S T eo% S. Valuation $ New/Add SF N/A Remodel SF N/A Garage/New/Add N/A Material/Labor 7 Oo r OWNER'S NAME Last Irvine Company First Owner's Address Owner's E-mail Address 50 Newport Center Drive City Newport Beach State CA Zip 2660 Telephone 14-646-3462 APPLICANT'S NAME Last King Recon First Applicants Address Applicant's E-mail Address 34401 Via San Juan #B 'ason@kingrecon.com City Capistrano Beach State CA Zip P2624 Telephone 49-370-0303 ARCHITECT/DESIGNER'S NAME Last First F_ Lic. No. F— Architect/Designers Address Architect/Designees E-mail Address City State F_ Zip F__ Telephoned ENGINEER'S NAME Last Bjttancourt „y . First colt Lic. No.-004296 Engineer's Address Engineer's E-mail Address 6170 Enterprise Way Suite 400 City Lake Forest State CA Zip 2630 Telephone 49-215-3339 t , CONTRACTOR'S NAME/COMPANY King Recon.,(Jasdh King) Lic. No. 84042 Class I" Contractor's Address Contractor's E-mail Address 34401 Via San Juan #B ason@kingrecon.com City Capistrano Beach State CA Zip 92624 Telephone 949-370-0303 SETBACKS REAR SETBACKS FRONT PERMIT NO. )CZ)O -7 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. - USE ZONE DEVELOPMENT NO PLAN CHECK FEES $