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HomeMy WebLinkAboutXR2023-0952 - Permit Application,t Form! Worksheet for Combo Building & Solar Permit Application F&§-rg- ResidentialCity of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL X'Building r Grading [-Drainage OZ Elec 0? Mech R Plum CuYdCut s cuYdHIT '_ Project Address (Not mailing address) l_ Flood r"",' Fire F Liq r-'. Landslide rN/A Floor Suite No 119 and 119.5 40th Street F—', F Description of Work Use R2 ConstType VB remove unpermitted work within garage, transfer living space from rear to enclose fron decks level, FeV19P WiAdOws, Fefflaelel bath kitchen ii; 119. install # Stories #Units (if Res) r 2 and enly new reRteF SLIPPGFt tauway with floating treads on 119 only, raise front third level balcony and remove roof above, .. ........... ..ice.,, ,....,.,.,.n. I,��V/ New/Add SF 2 - Remodel SFF5"0`4////Z'` ara a/New/Add F_ g Valuation $ Material/LaborF000 OWNER'S NAME Last Carli and Rod First Derfield Owner's Address Owner's E-mail Address 119 and 119.5 40th street City newport each Sca State _. _ Zip 92663 _ Telephone 7lq, ZS 5 -72, APPLICANT'S NAME Last manzer First bruce Applicant's Address Applicant's E-mail Address 4275 Ponchartrain Lane bruce@manzerandassociates.com City Lake Forest State ca Zip 92630 Telephone 14-720-4394 ARCHITECT/DESIGNER'S NAME Last manzer + Associates �.. First I Lic. No. F_ Architect/Designer's Address Architect/Designees E-mail Address ame as applicant City I State I Zip F TelephoneF ENGINEER'S NAME Last Murphy First Nicholas Lic. No.71600 Engineer's Address Engineer's E-mail Address 857 Birch Street - 9282 City ewport beach City State ca Zip 92660 Telephone NAME/COMPANY Lic No. F Class Contractors Address Contractor's E-mail Address City � State F— Zip F—• Telephones-,... SETBACKS REAR SETBACKS FRONT PERMIT NO. IWTOUlj SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. G d USE ZONE DEVELOPMENT NO PLAN CHECK FEES $