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HomeMy WebLinkAboutX2022-1470 - Permit ApplicationG' Print F6EJ Worksheet for Combo Building & Solar Permit Application ri Comm'I jX Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME nF cl iRneiTTni IX!Building [, Grading j-;Drainage r!Elec rX!Mech j- Plum cuydcut ' Cu Yd Fill F Project Address (Not mailing address) ❑ Flood f- Fire r- Liq r- Landslide SIN/A Floor Suite No 1846 leeward lane _ ___ �— Description of Work �� Use R3/U1ConstType F_ master bedroom remodeling # Stories # Units (if ResF 1 Valuation aP;1000 Material/Labor New/Add SFRemodel SFs— 185 —j Garage/New/Add �- OWNER'S NAME Last Valcek First justln Owner's Address Owner's E-mail Address 18461eeward lane---- - ivaicek@icloud.com city newport beach state Catzip F026130 Telephone 49-230-589 :9 APPLICANT'S NAME Last wen ! First frank Applicant's Address A licar"s E-mail Address 1691 westcliff drive frank@jwmarchitecture.com city newport beach State ca zip 92660 Telephone 949-642-5212 ARCHITECT/DESIGNER'S NAME Last wen First frank -Lic. No. c21825 Architect/Designees Address ArchitecUDesigner's E-mail Address same as above � -- --- - --.. -. -- -------I City State—� Zips Telephoned_ -- --- � I ENGINEER'S NAME Last hwsh Iand I _ First mike Lic. No. p0 2283 Engineer's Address - Engineer's E-mail Address 15 Studebaker mhoushmand@gouvisgroup.com city irvine state ca Zip 92618 Telephone 949-752-16121 CONTRACTOR'S NAME/COMPANY owner /builder Lic. No. Class; Contractor's Address Contractor's E-mail Address City State -- - - -- - Zip[— Telephone - 4rz SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. Lv USE ZONE DEVELOPMENT NO PLAN CHECK FEES $