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X2021-1909 - Permit Application
Print Form Worksheet for Combo Building & Solar Permit Application ®r'oeleri (— Comm'I r Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL rBuilding r Grading Drainage jX Elec (x Mech . CuYdFill r Plum CuvdCut FiKv Project Address (Not mailing address) F_ Flood Fire F_ Liq r Landslide FN/A Floor Suite No 314 Evening Canyon Road 7 S 1 1 Description of Work Use R1 Const Type VB New 2-Story Home with open Roof Deck, 3- Car Garage. # StoriesF2 # Units (if Res)F New/Add SF 6405 Remodel SF �— Garage/New/Ad 608 Valuation 5 [1056,300 Material/Labor OWNER'S NAME Last Blue Water Estates, LLC First Owner's Address Owner's E-mail Address 15921 Cherbourg Ave. jenleggettl969@gmail.com City Irvine State CA Zip 92604 Telephone 949-264-6221 APPLICANT'S NAME Last George First David Applicant's Address Applicant's E-mail Address 2222 Martin, Suite 210 dave@dga-arch.com City Irvine State CA Zip 92612 Telephone 949-463-9818 ARCHITECT/DESIGNER'S NAME Last Rhoads First Timoth Y Lic. No. C-34428 Architect/Designer's Address Architect/Designer's E-mail Address 17848 Skypark Circle, Suite D timrhoadstra@gmail.com City Irvine State CA Zip 92614 Telephone 808-280-5961 ENGINEER'S NAME Last Khoury First Nader Lic. No. C61402 Engineer's Address Engineer's E-mail Address 1278 Glenneyre St., #201 brian@engineering-structures.com City Laguna Beach State CA Zip 92651 Telephone 949-943-8083 CONTRACTOR'S NAME/COMPANY ,JW Contracting Lic. No. 987024 Class B Contractor's Address Contractor's E-mail Address J WConr ,g ; . 6,tA 0 V1 16833 Hay Drivejmnt�ta©(mc, cvw City Chino Hills State CA Zip 91709 Telephone 7 44-812-2136 SETBACKS REAR SETBACKS FRONT PERMIT NO. 'X "CO h0j SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $