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HomeMy WebLinkAboutX2021-0490 - Permit ApplicationL.t.. X2b2'1^Oyaa Print Form ;, Worksheet for Combo Building & Solar Permit Application 1-721m Comm'] 5< Residential City of Newport Beach - Building Division 4 NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL .Building FGrading rDrainage DKElec XMech X,Plunl uyd Cut Cu Yd Fill Project Address (Not mailing address) r Flood (`, Fire r Liq j- Landslide [—.N/A Floor Suite No 129 40th Street. Newport Beach, CA 92663The F_ F— - �seriptior�f ork UseR3/U Const Type V -B he removal of non -approved interior non -load bearing additons & repairing the structure # StoriesF2 # Units (if Res)F_2 o its original condition. C!i `QUS S � � �(�� / y, (' N UQ(no(r l.p-e (c 1\ew/Adc1SFf 0 R � del SFJ.2 SF Garage/New/Add I O Valuation $ Material/Labor $ ' 0 OWNER'S NAME Last Adnoff First Connie Owner's Address Owner's E-mail Address 204 - 34th Street Connie@beachviewre alty.comDonald City Newport Beach 11 11 State CA Zip 92663 Telephone 949-466-7542 APPLICANT'S NAME Last Lee First I Donald ''.. Applicant's Address Applicant's E-mail Address 2501 - N. Hartman Street don@homedesignarchitects.com « City I Orange State CA Zip 92865 Telephone714-998 1549 ARCHITECT/DESIGNER'S NAME Last Lee First Donald _ -. Lic. No. Fc10411.._ Architect/Designer's Address _ Architect/& igner's E-mail Address 2501 - N. Hartman Street on@homede�ignarchitects.com Cit orange Y g State CA Zi 92865 Tele hone 714-998-1549 F—:. P �— P �—,... ENGINEER'S NAME Last — First F_ Lic. No f Engineer's Address Engineer's E-mail Address City State- Zip. TelephoneJV' CONTRACTOR'S NAME/COMPANY Sean P. Lacey Lic. No. F786311 ! F— Contractor's Address GClass Contractor's E-mail AddressT:�LL�'1�-F 3015 Astoria Streetsplcorp2D04@gmaii.com City ( Corona State CA Zip 1 92879 Telephone 949-943-7914 SETBACKS REAR SETBACKS FRONT l b / PERMIT NO. SETBACKS LEFT �— SETBACKS RIGHT 3 PLAN CHECK NO. ns 0 USE ZONE ')Z— -2- DEVELOPMENT NO PLAN CHECK FEES $