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HomeMy WebLinkAboutX2019-2376 - Permit ApplicationPrim t arm WorKsheet Tor Lompo timiding & Solar Permit Application o�`_ j� Comm'I J+ Residential City of Newport Beach - Building Division X2O I — 2! �w � 4 NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL <aN� Building (✓ Grading [—Drainage jW Elec (_ Mech r Plum Cu Yd Cut Cu Yd Fill Project Address (Not mailing address) F Flood F_ Fire F` Liq F-' Landslide rN/AFloor �Sui`teeNNo 3 Bridgeport I I — Description of Work Use I Const Type F� # Stories[— # Units (if Res)[ Replace Existing Fireplaces, Replace Existing Stairs, Remodel Existing Bathroom Valuation $ Material/Labor New/Add SF10 Remodel SF 00 Garage/New/Add F— OWNER'S NAME Last Brown First Ryan Owner's Address Owner's E-mail Address 3 Bridgeport City Newport Beach State Ca Zip 2660 Telephone 6Q2-689-4546 APPLICANT'S NAME Last Melillo First Dan Applicant's Address Applicant's E-mail Address 2901 W. Coast Hwy, Suite 200 �an@excelbuildingdesign.com City rwport Beach State Ca Zip 92663 Telephone 949-933-4293 ARCHITECT/DESIGNER'S NAME Last Melillo First Dan Lic. No. 555307 Architect/Designer's Address Architect/Designer's E-mail Address 901 W. Coast Hwy, Suite 200 an@excelbuildingdesign.com City Newport Beach State Ca Zip 2663 Telephone 949-9334293 ENGINEER'S NAME Last De Cuir First on Lic. No. -54914 Engineer's Address Engineer's E-mail Address 901 W. Coast Hwy, Suite 200 City Newport Beach State Ca Zip 2663 Telephone 310-849-2044 CONTRACTOR'S NAME/COMPANY I Lic. No. �� Class F_ Contractor's Address Contractor's E-mail Address - — - - -- City State F___ _ - __ _. Zip Telephone SETBACKS REAR SETBACKS FRONT PERMIT NO, SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $