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HomeMy WebLinkAboutXR2023-0600 - Permit ApplicationPnnt Fbrm Worksheet for Combo Building & Solar Permit Application zEW�q. a 6 r Comm'I I- Residential City of Newport Beach - Building Division' J NOTE: PLAN CHECK FEES DUE ATTIME OF SUBMITTAI c, v jX-Building rGrading rDrainage I-Elec I-Mech (-Plum Cu yd cut Cu Yd Fills Project Address (Not mailing address) r- Flood j Fire r Liq r- Landslide F_N/A Floor Suite No 2646 VISTA DEL ORO, NEWPORT BEACH, CA 92660 (— F_ Description of Work Use Res Const Type V-B CONVERTING EXISTING DETACHED 2 CAR GARACF # Stories # Units (if Resf _1 457 SQ.FT. TO AN ADU Valuation $ F00000 Material/Labor New/Add SF Remodel SF 457 Garage/New/Add _, OWNER'S NAME Last Vlsta Roma LLC First Owner's Address Owner's E-mail Address 2646 VISTA DEL ORO, NEWPORT BEACH, CA 92660 JohnLNeff@gmail.com City NEWPORT BEACH State CA Zip 92660 Telephone 19495006544 APPLICANT'S NAME Last Hosn First Ihab Applicant's Address Applicant's E-mail Address 9744 Maple St mce2020@gmaii.com City Bellflower State CA Zip 90706 Telephone b628663625 ARCHITECT/DESIGNER'S NAME Last First I �_.—_—_ Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address _. _ _... - City State Zip Telephone) ENGINEER'S NAME Last Alson First Ken Lic No. C41697 Engineer's Address Engineer's E-mail Address 9744 Maple St mce2020@gmail.com City Bellflower State CA Zip 90706 Telephone 5628663625 CONTRACTOR'S NAME/COMPANY Lic No. �Gr v> Class r/ v Contractor's A dress Contractor's E-mail Address 0 5 c Je Su;` C4 6� L COX -hey City I"�I,tibiG. �� S State �.- Zip �1-'`l, Telephone wq 6` L SETBACKS REAR SETBACKS FRONT PERMIT NO. y_ - y4m SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.gi O C� L:� oo ��, ,„, USE ZONE DEVELOPMENT NO {2� '4O°Vf' PLAN CHECK FEES $