HomeMy WebLinkAboutX2021-1027 - Permit ApplicationX 20 v1 -10?�7 l 30[ POVG St
it Foem Worksheet for Combo Building & Solar Permit Application
(, Comm'I r Residential City of Newport Beach - Building Division _
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
FX -Building F_ Grading f -Drainage FXElec FX_Mech r'Plum Cuvdcuf Cu yd Fill!
Project Address (Not mailing address) r Flood r Fire r Liq F-, RN/A Floor Suite No
DOVE STREET 9TH
7307 ,Q
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Description of Work
Use Const Type I -A
# Stories F0 # Units (if Res),
MINOR INT. DEMO; NEW WALLS, DOORS, GLAZING, MILLWORK, FIXTURES & FINISHES
AddSFF Remodel SF 4,089 Garage/New/Add,
FNew/Valuation a
Material/Labor 000.00
OWNER'S NAME Last TORRE First CARMAN
Owner's Address Owner's E-mail Address
1301 DOVE ST., SUITE 550 CAT@MCCARTHYCOOK.COM
City NEWPORT BEACH State CA Zip 92660 Telephone (949) 252-8844
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APPLICANT'S NAME Last PATRICK First RANDALL
Applicant's Address Applicant's E-mail Address
3150 BRISTOL ST., SUITE 205 RAND@SPACES-OC.COM
ty I �—' P �— Telephone (949) 724-1499
Ci COSTA MESA State CA Zi 92626
ARCHITECT/DESIGNER'S NAME Last PATRICK First RANDALL Lic. No. 6141
Architect/Designer's Address Architect/Designer's E-mail Address
FRAND3150 BRISTOL ST., SUITE 205 @SPACES-OC.COM
City COSTA MESA State CA Zip 92626 Telephone(949) 724-1499
ENGINEER'S NAME Last �— First F Lic. No. F
Engineer's Address Engineer's E-mail Address
City State F—'. Zip F—'.. Telephone—�.
CONTRACTOR'S NAME/COMPANY [Sm ITH AND SEVERSON BUILDERS Lic. No. y�/ % 3 Class
[
Contractor's Address Contractor's E-mail Address
21072 BAKE PARKWAY, SUITE 106 MCOOK@SMITHANDSEVERSON.COM
City LAKE FOREST State CA Zip 92630 Telephone (949) 232-1222
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SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ '
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