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HomeMy WebLinkAboutXR2022-3342 - Permit Application (8)Print Form Worksheet for Combo Building & Solar Permit Application o�EWPo�m r Comm'I GZ Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL PZBuilding VGrading FDrainage RElec (Z'iMech GZjPlum CuYdCut10 CuYdFill 188 Project Address (Not mailing address) lei Flood F Fire PZ Liq i— Landslide N/A Floor Suite No 550 South Bay Front, Balboa Island �— Description of Work Use SFDB ConstType V- Demo Existing Single -Family Dwelling and Garage. Construct New Three -Story Dwelling with - _-... # Storiesr # Units (if Resf Walls (160 Linear Feet). —. -- ...-- - - ---- - — - -- - Valuation New/Add SF 2 356 SF --- _ ---- 9 Remodel SF Gara e/New/Add 400SF ----- ... $ F$520,000.00 Material/Labor OWNER'S NAME Last I Rodman First Larry and Linda Owner's Address Owners E-mail Address 1175 Park Avenue linda@rodmanresources.com City I New York StateFT77 Zip 10128 Telephone 347-901-3257 APPLICANT'S NAME Last Architect i First Applicant's Address Applicants E-mail Address City - State F Zip Telephoned ARCHITECT/DESIGNER'S NAME Last Harrison ! First Ian Lic. No. C-6947 Architect/Designer's Address Architect/Designees E-mail Address 220 Newport Center Drive Ian@ianhardsonarchitect.com City Newport Beach - State CA Zip 92660 - Telephone 949-887-4534 - ENGINEER'S NAME Last Rezaei _ - -- First Ali - -- - - Lic. No.-41068 Engineer's Address Engineer's E-mail Address 18021 Sky Park Circle, Suite E2 ali@rce-eng.com City Irvine State CA _ Zip 92614 Telephone 949-466 9394 CONTRACTOR'S NAME/COMPANY Lic. No. F Class Contractors Address Contractor's E-mail Address City - _ State Zip [7777 Telephoned 9— a 7 2 SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.W� USE ZONE DEVELOPMENT NO PLAN CHECK FEES $