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Print Form Worksheet for Combo Building & Solar Permit Application o4c`ry�ga
F Comm'I jX Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DtIE AT TIME nF ci IRMITrAI
RBuilding r Grading rDrainage r Elec rX_ Mech r Plum curdCut FO— CuVdFill I'
Project Address (Not mailing address) r Flood j— Fire r' Liq r— Landslide rN/A Floor Suite No
2335 Mesa Drive
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Description of Work
Use SFD Const Type VB
Minor interior renovations including remove selected interior walls,
remove masonry fireplace
# Stories) l #Units (if Res)I 1
r
structural; Add new bathrm and closet within existing living area; No area additions proposed.
Valuation $ $ 200,000
Material/Labor
New/AddSF�— Remodel SF491
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Garage/New/Add IV —
OWNER'S NAME Last FEscalera
First Linda
Owner's Address
Owner's E-mail Address
2335 Mesa Drive
I.escalera@columbiasinks.com
City Newport Beach State CA
Zip 92660 Telephone 949 981-8295
APPLICANT'S NAME Last Stewart
First Thomas
Applicant's Address
Applicant's E-mail Address
18006 Sky Park Circle, Suite 100
tom@avalonarchitectural.com
city Irvine State CA
Zip 92614 Telephone 949 640-0606
ARCHITECT/DESIGNER'S NAME Last Stewart First Thomas Lic. No. C-29976
Architect/Designers Address
Architect/Designers E-mail Address
18006 Sky Park Circle, Suite 100
tom@avalonarchitectural.com
City Irvine State CA
Zip 92614 Telephone 949 640-0606
ENGINEER'S NAME Last Ortiz
First Roberto Lic. No. 5512
Engineer's Address
Engineers E-mail Address
1744 West Katella, Suite 107
rortiz@dalechristian.com
City Orange State CA
Zip 92867 Telephone 714 997-1145
CONTRACTOR'S NAME/COMPANY
Lic. No. 1-- Classrf
Contractor's Address
Contractors E-mail Address79M 09 0
City State F—
Zip I Telephone �—
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SETBACKS REAR SETBACKS FRONT
PERMIT NO. k N"C
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. �OtO
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $