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HomeMy WebLinkAboutXR2023-0987 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application r Comm'I [x- Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Ix -Building r Grading rDrainage R Elec rX Mech r Plum CuYdCut F0 CuvdFill l" Project Address (Not mailing address) r Flood F- Fire r- Liq r Landslide F-N/A Floor Suite No ow. OCEANFRONT n/a n/a Description of Work �D Use SFD ConsiType V8 # Storiesl3 # Units (if Res)F NEWTHREESIolly RESIDENrF WITH AN ATTACHED GARAGE 3br Valuation $ � New/Add SF 2,637.02 Remodel SF I Garage/New/Add 381.99 700,000 Material/Labor OWNER'S NAME Last FRIEDMAN First ANDY Owner's Address Owners E-mail Address 7106 W. OCEANFRONT N/A City NEWPORT BEACH State CA Zip 92663 Telephone (949) 463-7070 APPLICANT'S NAME Last NIELSEN First PHIL Applicant's Address Applicant's E-mail Address 6131 ANACAPA DRIVE philnielseno0@yahoo.com City HUNTINGTON BEACH State CA Zip 92647 Telephone (714) 717-1418 ARCHITECT/DESIGNER'S NAME Last NIELSEN Firsi PHIL Lic.No. DESIGNER Architect/Designers Address Architect/Designers E-mail Address 6131 ANACAPADRIVE philnielsen00@yahoo.com City rUNTINGTON BEACH State CA Zip 92647 Telephone (714) 717-1418 ENGINEER'S NAME Last MANSHADI First FARHAD Lic. No. C 36840 Engineers Address Engineer's E-mail Address 1800 E. 16TH STREET N/A City SANTA ANA State CA Zip 92701 Telephone (714) 835-2800 CONTRACTOR'S NAME/COMPANY 'l9nK/�% Lic. No. G19�%$� Class Contractors Address Contractors E-mail Address city AA✓ State 7 Zip 9_z_T%�Z Telephone glq•603-02z0 SETBACKS REAR SETBACKS FRONT PERMIT NO. %(1Zy2,Z_3290 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. '�G7 p22-31 tOfo USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ '2 D 5&1 •V4 �?A7.02Z-01%,