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HomeMy WebLinkAboutXR2024-5518 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application r Comm'I F- Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL rBuilding r Grading r-Drainage lX Elec lX Mech rx- Plum CuvdCut F CuYd!RI Project Address (Not mailing address) IX Flood r Fire r- Liq r Landslide FN/A Floor Suite No 113 Pearl Ave I �— Description of Work Use Duplex ConstType V-B remodel (192 sf) and extend kitchen (48 sf) to add a pantry # Storiesp # Units (if Res)2 Valuation Material/Labor � New/Add SF 48 Remodel SF F192 Garage/New/Add OF OWNER'S NAME Last Kupper First Robert Owner's Address Owners E-mail Address 113 Pearl City Balboa Island State CA Zip 2662 Telephone 949.683.8541 APPLICANT'S NAME Last Walker First I Barry Applicant's Address Applicant's E-mail Address PO Box 11658 Bwarch.biz@gmail.com city Newport Beach State CA Zip F92658 Telephone 949.246.4085 ARCHITECT/DESIGNER'S NAME Last Walker First Barry Lic. No. C19637 Architect/Designer's Address Architect/Designer's E-mail Address see above city I State F_ Zip F TelephoneF ENGINEER'S NAME Last Groverman First David Lic. No. 143663 Engineer's Address Engineers E-mail Address 541 Buckhorn Drive dgroverman@aol.com City Hailey State ID Zip 8333 Telephone 949.500.0652 CONTRACTOR'S NAME/COMPANY Lic. No. F Class F Contractor's Address Contractor's E-mail Address City �— State F_— Zip F_ Telephoned SETBACKS REAR SETBACKS FRONT PERMIT NO. — SS SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $