HomeMy WebLinkAboutX2019-2783 - Permit ApplicationX<J_G \9 -27VE�
Worksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division
IX Comm'I : Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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', Grading Drainage _Elec j_ Mech �'-� Plum Cu Yd Cut Cu Yd Fill i
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Project Address (Not mai g address) Flood - Fire I Liq -'i Landslide [ N/A Floor Suite No
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4263 BIRCH ST 4307 RCH STREET
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Description of Work —�
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Use ConstT e,� �
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CONCRETE BLOCK LL INSTALLATIO 6' TALL X 60' LOIG
PER ryL�'e'rr331i��i315
# Stories, # Units (if Res)n
Valuation
Material/Labor[-
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New/Add SF;NA --- --Remodel-SF NA - -- -- --
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Garage/New/Add NA
OWNER'S NAME Last IKATCHERIAN
First+GEORGE
Owner's Address
Owner's E-mail Address
263 BIRCH STREET
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City NEWPORTBEACH State
KA77
zip92660 Tele hone 949756-0554
APPLICANT'S NAME Last MARTIN,
First RICHARD
Applicant's Address
Applicant's E-mail Address
1200 QUAIL STREET SUITE 200
BECK-MARTIN@SBCGLOBAL.NET
City NEWPORT BEACH State SCCA
Zip 92660 Telephonei949 851-3044
ARCHITECT/DESIGNER'S NAME Last MARTIN First RICHARD Lic. No. 104204 �I
Architect/Designer's Address
Architect/Designer's E-mail Address
1200 QUAIL STREET SUITE 200
BECK-MARTIN@SBCGLOBAL.NET
NEWPORT BEACH State CA
city9266
Zi 0 Telephone949 M1-3044
ENGINEER'S NAME Last r YnN' �_.
First[I W_lIJDk) Lic.No., b j
Engineer's Address
Engineer's E-mail Address
cityState i
Zip L�Tele hone Cq_SL✓7Z4::
fL(
CONTRACTOR'S NAME/COMPANY DBAC
Lic. No.)- ClassF
Contractor's Address
Contractor's E-mail Address
101 SHIPYARD WAY SUITE A
JPESCHALT@DBACINC.COM
City NEWPORT BEACH State CA
Zip 92663 Telephone 949723-0147
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.�
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $