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HomeMy WebLinkAboutX2021-0884 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application Comm'I X Residential City of Newport Beach - Building Division g NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL GZBuilding r Grading I -Drainage r Elec r" Mech r Plum Cu Yd Cut F Cu Yd Fin F Project Address (Not mailing address) I— Flood F_ Fire I—Liq r Landslide r N/A Floor Suite No 1833 Highland Drive, Newport Beach CA 92660 F Description of Work Use R-1 ConstType V B Interior Renovation remodel. of Kitchen, addition of new powder bathroom, renovation of # Stories h #Units (if Res) bi fold doors into bac ard. Vaulted ceiling in living room, kitchen, and dining. Valuation $ Material/Cabo New/Add SF Remodel SF Garage/New/Add Fo— OWNER'S NAME Last s�hton� \ I`4First tephanie &Bryce 1 1*121 & lU 1C T` N lFi{, Owner's Address Owner's E-mail Address 1833 Highland Drive City Newport Beach State CA Zip F2660 Telephone APPLICANT'S NAME Last Lawrence First Robert Applicant's Address Applicant's E-mail Address 760 W. 16th St, Suite M robert@landworksdevelomentservices.com City Costa Mesa State CA Zip F2627 Telephone 49 633 9560 ARCHITECT/DESIGNER'S NAME Last Lawrence First Robert Lic. No. -21447 Architect/Designer's Address Architect/Designers E-mail Address 760 W. 16th St, Suite M robert@landworksdevelopmentservices.com City Costa Mesa State CA Zip 92627 Telephone 949 633 9560 ENGINEER'S NAME Last J First � � Lic. No. 4 y�S jr� N Engineer's Address I Engineer's E-mail Address City State F— Zip Telephoned CONTRACTOR'S NAME/COMPANY Lic. . No. ���21 Class T r�r t Contractor's Address \ r C 3Jc V &Wractor's E-mail'Address l S-Db 1 �;A2 City V State— Zip qz�Q � Telephone �/� 7/ P- u v • 05" SETBACKS REAR SETBACKS FRONT PERMIT NO. a SETBACKS LEFT SETBACKS RIGHT PLAN CHECK No. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $