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HomeMy WebLinkAboutX2022-0100 - Permit ApplicationResidential �Pr' orm Worfkshheet for Combo Building & Solar Permit Application °F±«o°�� �', Comm'I [j f/ City of Newport Beach - Building Division )(ao-6� _ ��(��\ CCC , NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL rBuilding [ ;Grading [-,Drainage ['Elec r,Mech F- Plum cuydCut F cuvdFiliF Project Address (Not mailing address) F_ Flood [, Fire Liq [Landslide _N/A Floor Suite No 92625 1601 Bayside Drive, Corona Del Mar, CA Description of Work Use Lv ConstType V-B # Stories # Units (if Res)F Va-jz­o­n­p--r6p`os-e-s o m exis ing cel I site roortop Or u 1101ng. - New/Add SF Remodel SF�— Garage/New/Add Valuation $ 65000 Material/Labor OWNER'S NAME Last Bahia Corinthian Yacht Club First Owner's Address Owner's E-mail Address 1601 Bayside Drive, Corona Del Mar, CA 92625 City Coronadel Mar State CA Zip 92625 TelephoneF-------- APPLICANT'S NAME Last Verizon Wireless First Applicant's Address Applicant's E-mail Address 2415 Campus Dr.Suite 265 ehiggins@tectonicengineering.com City Irvine State CA Zip 92612 Telephone�— ARCHITECT/DESIGNER'S NAME Last First F Lic. No. �� Y Architect/Designer's Address Architect/Designer's E-mail Address City �— _ _ State �_ Zip �— Telephone[ ENGINEER'S NAME Last Privette First Mark Lic No. C91463 Engineer's Address Engineer's E-mail Address 2415 Campus Dr.Suite 265 ehiggins@tectonicengineering.com city Irvine - - - State [CA _ ----- - - -- Zip 92612 Telephone- �----- - - ---- CONTRACTOR'S NAME/COMPANY Lic. No. 1 ClassF_ Contractor's Address Contractor's E-mail Address City State I Zip I Telephoned SETBACKS REAR SETBACKS FRONT PERMIT NO. { SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $