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HomeMy WebLinkAboutX2019-0255 - Permit Applicationorm` Worksheet for Combo Building & Solar Permi A plication o4NEW�Rm )41-0 IC' City of Newport Beach - Building Division 4' q -nu D e F_ Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL ,,.oAa,� i XBuilding F_ Grading F—Drainage �Elec �Mech rlPlum CuvdCut � CuvdFill i Project Address (Not mailing address) J_ Flood F— Fire j—, Liq F— Landslide F Floor Suite NO 3507 JAMBOREE RD Zoos Description of Work Use IB ConstTyp 1A 'jVlt VIFIG AMENtTI� # Stories; # Un' s (if Res)F Valuation $ 0 Valuation a !workon 2,025 sq. ft. of the total floorarea. new wall, lighting and finishes. New/Add SF Remodel SF 2,025 Gara a/New/Add g 00 OWNER'S NAME Last Bonita First Nicole Owner's Address Owner's E-mail Address 3501 Jamboree Rd nicole.bonita@cbre.com City Newport Beach State CA Zip 92660 Telephone 949 .823.9330 APPLICANT'S NAME Last Buckley First Jill Applicant's Address Applicant's E-mail Address 18201 Von Karmen jbuckley@saaia.com City Irvine StateCA Zip 92612 Telephone 9/19.724.8958 ARCHITECT/DESIGNER'S NAME Last Oi FirstDickson Lic. No. C-32277 Architect/Designees Address Architect/Designei's E-mail Address 18201 Von Kerman doi@saaia.com City Irvine State CA Zip 92612 Telephone 949.724 8958 ENGINEER'S NAME Last First Lic. No.F— Engineer's Address Engineer's E-mail Address City State Zip �, Telephonel �h CONTRACTOR'S NAME/COMPANY TBS Lic. No.�7y ass Contractor's Address rI�SPo�j s CLAN �V" �,%/0'O /'Contractor's E-mail Address / �/ `� 75 7z7 i lJ.47e� e-Gpe✓b�; r (3 ITS LP41st, _:f: M City � L l�`Lti State V Zip I Telephone '/,f '70% 3L3i SETBACKS REAR SETBACKS FRONT PERMIT NO. -7uj - SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ L`��