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HomeMy WebLinkAboutXC2022-2020 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application r Comm] 7 Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAI oE�po� (x Building F- Grading (-Drainage F_ Elec F_ Mech F_ Plum Cu Yd cut Cu Yd Fill Project Address (Not mailing address) F Flood r Fire F- Liq j- Landslide FN/A Floor Suite No 2721 Pacific Coast Highway �— 160 Description of Work Use I ConstType If 4 Interior remodel ofoffi it New wallnew sink, newaccessible restroorn, newfinishes # StoriesF2 # Units (if Res)[ (flooring, cabinetry, paint), new ceiling & light fixtures Valuation $ [80,000 00 Material/Labor New/Add SFF Remodel SF F1826 Garage/New/Add OWNER'S NAME Last Mesa Management, Inc. First Owner's Address Owner's E-mail Address 1451 Quail Street, Suite 201 rplavalka@mesamanagementnet City Newport Beach State CA Zip 92660 Telephone 949-851-0995 APPLICANT'S NAME Last Graham First Michele Applicant's Address Applicant's E-mail Address 2961 W MacArthur Blvd., Suite 120 mgraham@sternarchitects.corri City Santa Ana State CA Zip 92704 Telephone 714-556-2656 ARCHITECT/DESIGNER'S NAME Last Fortunes First (James Lic. No. C16792 Architect/De igner's Address Architect/Designer's E-mail Address 2961 W MacArthur Blvd., Suite 120 fortunes@sternarchitects.corn City Santa Ana State CA Zip 92704 Telephone 714-556-2656 ENGINEER'S NAME Last First �� Lic No-F_ Engineer's Address Engineer's E-mail Address City State �— Zip F Telephoned CONTRACTOR'S NAME/COMPANY 0- Lic No. J07a11 Class Contractor's Address Contractor's E-mail Address City G j,� State I "" Zip I"zc Telephone -7 t:00.3� - SETBACKS REAR SETBACKS FRONT PERMIT NO. 1yL2!90-XaZiff) SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO C4j,?4, 2577 USE ZONE DEVELOPMENT NO PLAN CHECK FEES $