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HomeMy WebLinkAboutS2022-0165 - Permit ApplicationPrint Form _ Worksheet for Combo Building & Solar Permit Application _ o a r Comm'I R Residential City of Newport Beach - Building Division o NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL D?Building i— Grading r—Drainage i? Elec Gz Mech R Plum Cu vd Cat Cu Yd Fill Project Address (Not mailing address) F_ Flood r Fire r Liq r Landslide rN/A Floor Suite No 1821 Highland 'K Description of Work Use R3 ConstType /A — relocate Powder Room Addition, renovate kitchen/dining, new laundry room # Stories # Units (if Res) Valuation' Material/Labor Fv�u New/Add SF 6 sq. ft. Remodel SF 4 q.ft Garage/New/Add OWNER'S NAME Last Pautsh - ' First Gaelyn & Dwain�� Owner's Address Owner's E-mail Address 341 Nassau Road snowflake4family@yahoo.com City Costa Mesa State CA Zip g2626 Telephone (949) 308-6192 APPLICANT'S NAME Last Garcia First khri Applicant's Address Applicant's E-mail Address P.O. Box 9942 'ohng@jmgarch.com City Newport Beach State CA Zip 92658 Telephone (949) 683-8858 ARCHITECT/DESIGNER'S NAME Last Garcia First ohn Lic. No. C16755 Architect/Designer's Address Architect/Designer's E-mail Address P.O. Box 9942 ohng@jmgarch.com City Newport Beach State CA Zip 92658 Telephone (949) 683-8858 ENGINEER'S NAME Last olpe First Robert Lic. No. E25116 Engineer's Address Engineer's E-mail Address 0321 Lake Forest Drive bob@rmvolpe.com City Lake Forest State Cp 92 A Zip Telephone (949) 305-4700 CONTRACTOR'S NAME/COMPANY Lic No. Class Contractor's Address Contractor's E-mail Address City State F�7_,_Zip Telephoned SETBACKS REAR (.,Q SETBACKS FRONT �lJ PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. V 1 1 �7 • Q7i USE ZONE DEVELOPMENT NO PLAN CHECK FEES $