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HomeMy WebLinkAboutX2021-2850 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application aw F Comm] [Z Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME nF cI IPZW rAi OZBuilding RGrading (Drainage 5Z Elec DZMech RPlum Cu vd cutlo Cu Yd Fill 140 Project Address (Not mailing address) r Flood r Fire F- Liq F_ Landslide rN/A Floor Suite No 30 Via Lido Nord �— Description of Work Use FR Const Type -B NR # Storiesr2 # Units (if Res) Demolish Existing Dwelling. Construct New Two -Story Dwelling with Attached Two -Car Garage. C9ngaEtiaa nd Brainage IK Valuation $ F$61,000.00 Material/Labor New/Add SF 2,629 SF Remodel SFF— Gara e/New/Add 66 SF 9 OWNER'S NAME Last Kruse First Dan Owner's Address Owner's E-mail Address 630 Via Lido Nord City Newport Beach State CA ZIP2663 Telephone 18-262-3473 APPLICANT'S NAME Last lArchitect First Applicant's Address Applicant's E-mail Address City State �— Zip F— Telephoner— ARCHITECT/DESIGNER'S NAME Last Harrison First Ian Lic. No. -6947 Architect/Designees Address Architect/Designer's E-mail Address 20 Newport Center Drive, #11-342 Ian@lanHarrisonArchitect.com City Newport Beach State CA Zip 92660 Telephone 949-723-1091 ENGINEER'S NAME Last Rezaei First li Lic. Nose Engineer's Address Engineer's E-mail Address 18021 Skypark Circle, E2 City Irvine State CA Zip �— Telephoned CONTRACTOR'S NAME/COMPANY Lic. No. F—Class Contractor's Address Contractor's E-mail Address City State r— Zip F— Telephones — SETBACKS REAR SETBACKS FRONT PERMIT NO. Z Z SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 1 USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ Print Form Worksheet for Combo Building & Solar Permit Application r Comm'I Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Buildin 9 R Grading RDrainage R Elec F Mech Q Plum Cu Yd cut 170 Cu Yd Fill 140 Project Address (Not mailing address) I— Flood r Fire j— Liq j— Landslide FN/A M Via Lido Nord / Floor � F_ Suite No F_ Description of Work Demolish Existing Dwelling. Construct New Two -Story Dwelling with Attached Two -Car Garage. I Arid�DFA aage 2'7 �50 stl New/Add SF 93F Remodel SFF — Garage/New/Add .6Z;P OWNER'S NAME Last Owner's Address 630 Via Lido Nord City Newport Beach State CA APPLICANT'S NAME Last Applicant's Address City ARCHITECT/DESIGNER'S NAME First Owner's E-mail Address Use SFR Const Type -8NR # Storiesr # Units (if Res) Valuation $ Material/Labor $610,000.00 Zip 92663 Telephone 818-262-3473 First Applicant's E-mail Address State r— Zip TelephoneF — Last Harrison First Ian Lic. No. C-6947 Architect/Designer's Address 20 ewporCenter Drive, #11-342 Architect/Designer's E-mail Adde Ian@IanHarrisonArchitect.comss City Newport Beach - State CA Zip 92660 Telephone 949-723-1091 ENGINEER'S NAME Last Rezaei First li Lic. No.r— Engineer's Address Engineer's E-mail Address 18021 Skypark Circle, E2 City Irvine State CA Zip F TelephoneF — CONTRACTOR'S NAME/COMPANY Contractor's Address City I State r— Lic. N*T Class Contractor's E-mail Address ZIP F, Telephoned — SETBACKS REAR SETBACKS FRONT PERMIT NO. Z- Z p SETBACKS LEFT SETBACKS RIGHT ( ZMi PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $