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HomeMy WebLinkAboutXR2022-3342 - Permit Application (9)Pnnt Form Worksheet for Combo Building & Solar Permit Application no r Comm I PZ Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL F;Building >,Grading v PZ,,Drainage OZElec PZiMech rzPlum CuvdCuto CuYdFill 188 Project Address (Not mailing address) R Flood R Fire GZ Liq r Landslide ❑N/A Floor Suite No 550 South Bay Front, Balboa Island�— Description of Work Use SFD ConstType V_B Demo Existing Single Dwelling -Family and Garage. Construct New Three -Story Dwelling with # Stories #Units (if Res) Walls (160 Linear Feet). Valuation $ Material/Labor 5270,000 00 New/Add SF 2 356 SF Remodel SF�—: Garage/New/Add 4007 OWNER'S NAME Last Rodman First Larry and Linda Owner's Address Owner's E-mail Address 1175 Park Avenue — -- - — linda@rodmanresources.com City New York State NY Zip PTI28 Telephone 347-901-3257 APPLICANT'S NAME Last Architect First Applicant's Address Applicant's E-mail Address City _;, State Zip Telephoned ARCHITECT/DESIGNER'S NAME Last ,Harrison -. _ - First Ian _ �,, Lic. No. I C-6947 Architect/Designer's Address Architect/Designer's E-mail Address 220 Newport Center Drive Ian@ianharrisonarchitect.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. Class Contractor's Address Contractor's E-mail Address City State 7 Zip —. Telephone SETBACKS REAR SETBACKS FRONT PERMIT NO. (� 2 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. /zWz' �/ USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ LIU