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HomeMy WebLinkAboutXR2023-0547 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application So,- FComm'I Ci of New ort Beach - Buildin Division Residential P 9 NOTE: PLAN CHECK FFFS rll IF GT nnnF nr m ianninni F7Building F_ Grading F.Drainage r Elec r Mesh �`: Plum Cu Yd Cut cuYd Fill F_ Project Address (Not mailing address) r Flood F_ Fire F_ Liq r— Landslide FN/A Floor Suite No (215 MARGUERITE AVE NEWPORT BEACH, CA) F— �— Description of Work INTERIOR REMODELTO Use �R3— ConstType CONSTRUCT BATHROOM @ 2ND FLR # StoriesF # Units (if Res)F— New/Add SFF--- Remodel SF-- Valuation $ 30,000 Garage/New/Add Material/Labor OWNER'S NAME Last BATHEL First MARK Owner's Address Owner's E-mail Address 17512 VON KARMANN AVE MBATHEL@NONNOBIS.COM City IRVINE, State CA Zip 92614 TelephoneF_ APPLICANT'S NAME Last MCDONALD First TERRY Applicant's Address Applicant's E-mail Address 140 E MAIN ST Unit: A _... ERRYM@JLFARCHITECTS.COM City FTSEMAN State MT Zip 59715 Telephone 06) 587-8888 ARCHITECT/DESIGNER'S NAME Last SULLIVAN First FSHLEYLic No. C 36960 _ ArchitecUDesigner's Address Architect/Designer's E-mail Address 140 EAST MAIN STREET, SUITE A City BOZEMAN State MT Zip 59715 Telephone 06-587-8888 ENGINEER'S NAME Last First F_, Lic No.F—- Engineer's Address Engineer's E-mail Address City _ State �— Zip �— Telephoned—:. CONTRACTOR'S NAME/COMPANY Lid. No. _ �O[ O�0 Class — Contractor's Address Contractor's E-mail Address 6Y56 0 9.+100 .......-.. City �-. State F'-- Zip r Telephoned; SETBACKS REAR SETBACKS FRONT PERMIT NO. j(V 5 9 —bt5 /7� SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. PC lcq5 -�.jL� USE ZONE DEVELOPMENT NO PLAN CHECK FEES $