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HomeMy WebLinkAboutX2021-3178 - Permit Application (3)Print Form Worksheet for Combo Building & Solar Permit Application F Comml r Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Fx Building j— Grading ("Drainage r- Elec Project Address (Not mailing addre; F Mech r Plum F— Flood F— Fire F Liq F— Landslide Crestview Dr., Newport Beach, CA 92663 scription of Work floor addition Cu Yd Fill FN/A Floor Suite No Use I— ConstType F_ # StoriesF # Units (if Res)r 1 New/Add SF 1308 Remodel SF�— (Valuation $ Garage/New/Add �— Material/Labor F$9001000 .00 OWNERS NAME Last Kurzeka First Peter &Kirby Owner's Address Owner's E-mail Address 502 Crestview Dr., eter@ta i (wind-ig. com City Newport Beach State CA Zip 2663 Telephone 49/610-5071 APPLICANT'S NAME Last First Applicant's Address Applicant's E-mail Address 3164 E. La Palma Ave #F ohn @castletondev.com City (Anaheim State CA Zip P2806 Telephone 14/801- 0002 ARCHITECT/DESIGNER'S NAME Last hilds First Cynthia Lic. No. C-22985 Architect/Designer's Address Architect/Designer's E-mail Address 732 E. Coast Hwy, Ste B ICChi]dS@ccarchitect.com City Corona Del Mar State CA Zip 92625 Telephone 949/718-3528 ENGINEER'S NAME Last Sheppard First Steve Lic. No. 5446 Engineer's Address Engineer's E-mail Address 8052 Camino Capistrano, Ste 201 teve @sdc-engineering. co m City Laguna Niguel State CA Zip 92677 Telephone 49/481-9669 CONTRACTOR'S NAME/COMPANY Castleton Development &Mgt, Inc Lic. No. 975703 Class Contractor's Address Contractor's E-mail Address 3164 E. La Palma Ave, #F ohn @ castletond ev. corn City (Anaheim State CA Zi 92806 P �— Telephone 714/801-0002 SETBACKS REAR SETBACKS FRONT SETBACKS LEFT USE ZONE SETBACKS RIGHT DEVELOPMENT NO PERMIT NO. �p S I ' 151 PLAN CHECK NO. Z� SS�ZaZI PLAN CHECK FEES $