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HomeMy WebLinkAboutX2022-1018 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application r Comm] Q Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL v 5ZBuilding (— Grading j—Drainage r Elec r Mech F— Plum F_ Cu Yd CutCu Yd Fill Project Address (Not mailing address) f Flood F— Fire F— Liq r Landslide F_N/A Floor Suite No !912 Carob Street Description of Work lining room expansion, kitchen expansion and remodel, change exsiting roof on 2nd floor to Use O/O Const Type sfr # Stories 2- # Units (if Res)[— New/Add SF 45 Remodel SF 42 Garage/New/Add �—Material/La (Valuation $ borFOOO 15tj/ 410— OWNERS NAME Last Kaloustian First Sharam Owner's Address Owner's E-mail Address 912 Carob Street City Newport Beach State CA ZIP F — Telephone 23-855-6792 APPLICANT'S NAME Last Richart First Applicant's Address Applicant's E-mail Address 1041 W. 18th St, (A106) Jason@richartdesign.net City Costa Mesa State CA Zip 92627 Telephone 949-422-9191 ARCHITECT/DESIGNER'S NAME Last Richart First Jason Architect/Designer's Address Architect/Designer's E-mail Address 1041 W. 18th St, (A106) Jason@richartdesign.net City Costa Mesa State CA Zip r92627 Telephone 949-422-9191 ENGINEER'S NAME Last Bashar First anvil Lic. No. C83129 Engineer's Address Engineer's E-mail Address 51 Shasta Drive City Corona State FA-- Zi 92881 P Telephone 714-883-4124 CONTRACTOR'S NAME/COMPANY Contractor's Address Lic. No. F� Class Contractor's E-mail Address City I State F_ Zip �— 7elephoneF� �7 SETBACKS REAR SETBACKS FRONT PERMIT NO. x 2 0Z SETBACKS LEFT SETBACKS RIGHT PLAN CHECK N0. q 3 6 ZQ 2 Z USE ZONE G DEVELOPMENT NO PLAN CHECK FEES $ Z$70r Gy