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HomeMy WebLinkAboutX2021-0595 - Permit Application (3)/Print Form Worksheet for Combo Building & Solar Per It Application / City of Newport Beach - Building Division ri Comm'I r Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL r,Building r_ Grading F-Drainage n Elec Project Address (Not mailing addrea 4607 Dorchester Description of Work New 1-story single family residence r Mech r Plum cu F- Flood r; Fire r Liq r Landslide Remodel SF F�-; OWNER'S NAME Last Owner's Address 607 Dorchester Rd. _ _. City Corona del Mar State CA APPLICANT'S NAME Last First IMichael & Diane Owner's E-mail Address Zip Cu Yd Fill 4 r-N/A Floor Suite No — I II Use R-3/U ConstType B-Sprk # Stories # Units (if Res)r 1 Valuation $ Applicant's Address Applicant's E-mail Address 900 Bristol -Bldg A-203 mteale@tealearchitecture.com J' State CA Zip 92626 Telephone 949-975-0123 City Costa Mesa ARCHITECT/DESIGNER'S NAME Last eale First Mark Lic. No. C 22162 ArchitectlDesigner's Address Architect/Designer'sE-mail Address see above ._------_'_'_' State �� Zip - Telephone '....... City .I Lic. No. C77167 ELast ENGINEER'S NAME Israel First Michael Engineer's Address Engineer's E-mail Address 5927 Balfour Ct mike@coastlineenginc.com JJ, State CA Zip 92008 Telephone 60-436-1344 City Carlsbad Lic. No. 871y�Class��� CONTRACTOR'S NAME/COMPANY Contractor's Address Contractor's E-mail Address , 12G7fco+�.�"GlG7��iirrehcC2y+�tll City dG%/�%� State �- Zip hone %'7P 7L Telep;iroV j6Q "?pZYLI a �0 SETBACKS REAR SETBACKS FRONT PIT NO. ERM PLAN CHECK NO. 05511 SETBACKS LEFT SETBACKS RIGHT ^ 1��USE NO +U �U '�1V' PLAN CHECK FEES $ ZONE DEVELOPMENT