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HomeMy WebLinkAboutXR2023-0492 - Permit ApplicationPrinrForm ;-7i wornneet ror iuomuo tsuiiaing a solar rermit Applicatior. 11 {— Comm'I (x Residential City of Newport Beach - Building Division 0 ( DU NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Building r Grading Drainage Fx- Elec Ix Mech Fx- Plum cuYdCu 45 QY III 40 Project Address (Not mailing address) F_ Flood F Fire r Liq F Landslide rN/A Floor Suite No 1929 Tiller Way 5 Description of Work Use 111-3/1.1 ConstType VB-Sprk # Stories # Units (if Res)r t New i -story single family residence with s.. bwplantLir Valuation $ F850,000 Material/Labor New/Add S 3,354 Remodel SF F Garage/New/Add 712 OWNER'S NAME Last Hamilton First Robert & Karina Owner's Address Owner's E-mail Address 929 Tiller Way d City Corona del Mar State CA Zip 92625 Telephone 949-975-0123 APPLICANTS NAME Last Teale [Mark p First Mark Applicant's Address Applicant's E-mail Address 2900 Bristol, Bldg A-203 mteale@tealearchitecture.com City ICosta Mesa State ICA Zip F92626 Telephone 949-975-0123 ARCHITECT/DESIGNER'S NAME Last Teale First I Mark Lic. No. C-2 1162 3 ArchitectlDesigner's Address Architect/Designer's E-mail Address S see above City State F Zip F— Telephoned ENGINEER'S NAME Last Patel First Shared Lic. No. 5-4488 Engineer's Address Engineer's E-mail Address 9283 Research Drive spatel@pbastructural.com City 11rvine State ICa Zip 92618 Telephone 949-943-8080 i Lic. No. o :T i 4z-� Classl CONTRACTOR'S NAME/COMPANY I �� cp�sr �,��� �� Contractor's Address Contractor's E-mail Address �00 SPRIG- hitG i _MtLAD C Tt✓L4-C--nO1 jIhJC • G40&A i City 12 c1+o Ml551tr►J VtEjo StateKffo Zip GP2/agt-( T lephone AI? QC�1?!S�(I� 3 _71b-z 1 �� _ 0 q,� SETBACKS REAR SETBACKS FRONT 'rG� PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. ' USE ZONE , DEVELOPMENT NO �%AZ2 !72/O PLAN CHECK FEES $