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HomeMy WebLinkAboutXC2024-0043 - Permit Application (3)IL Print For Worksheet for Combo Building & Solar Permit Application r Comm1 r Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL j—Building r Grading rDrainage r Elec F_ Mech r Plum Cu Yd Cut Cu Yd Fill F Project Address (Not mailing address) F_ Flood r Fire r Liq r" Landslide CN/A Floor Suite No 1200 W COAST HWY I Description of Work Use F—ConstType F_ # StoriesF_ # Units (if Res)1_ Valuation $ cW New/Add SFF— Remodel SF� Garage/New/Add F Material/Labor V V F OWNER'S NAME Last MARDIKIAN First ALBERT Owner's Address Owner's E-mail Address 4 SAINT PIERE City NEWPORT COAST State CA Zip 92657 Telephone 714-401-6160 APPLICANT'S NAME Last YBARRA First RYAN Applicant's Address Applicant's E-mail Address 646 W WILLIAMSON AVE RYBARRA@STELLARINSTALLS.COM City FULLERTON State CA Zip 92832 Telephone 5513102896 ARCHITECT/DESIGNER'S NAME Last - First Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City State Zip F TelephoneF ENGINEER'S NAME Last - First [ Lic. No.1 Engineer's Address Engineer's E-mail Address City State F__ Zip F Telephoned CONTRACTOR'S NAME/COMPANY ORANGE COUNTY SIGNS Lic. No. 1064067 Class C45 Contractor's Address - Contractor's E-mail Address 646 W WILLIAMSON AVE RYBARRA@STELLARINSTALLS.COM City FULLERTON State CA Zip 92832 Telephone 95713102896 X G SETBACKS REAR // u SETBACKS FRONT PERMIT NO. �OZq_ OU43 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. W_J/Z4 _07.Kj USE ZONE DEVELOPMENT NO 021— 0397 PLAN CHECK FEES $