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HomeMy WebLinkAboutX2022-1353 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application o EW�Rr m City of Newport Beach - Building Division Comm'I r Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL rBuilding rGrading rDrainage I—Elec j—Mech F—Plum CuvdCut CuYdFill Project Address (Not mailing address) F Flood r Fire r Liq r Landslide F_N/A Floor Suite No 3 Windemer Description of Work Use ConstType # Stories #Units (if Res) Remove xisting double doors. Upgrade existing structure for installation of stacking panel 4ty> Odom Valuation $ New/Add SFF Remodel SF 128 Garage/New/Add F F0000 Material/Labor OWNER'S NAME Last Knode First Owner's Address Owner's E-mail Address 3 Windemer City Newport Coast State Ca Zip 92657 Telephone 949.332.0019 APPLICANT'S NAME Last Ellison First Paul Applicant's Address Applicant's E-mail Address 24642 Voia Raza paul@dpspermits.com City Lake Forest State Ca Zip 92630 Telephone 949.683.9861 ARCHITECT/DESIGNER'S NAME Last First F—Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City State r_ Zip F_ TelephoneF_ ENGINEER'S NAME Last Stevens First Bradley Lic. No. 6679 Engineer's Address Engineer's E-mail Address 25581 Starboard Dr City Dana Point State Ca Zip 92629 Telephone 949.547.1716 CONTRACTOR'S NAME/COMPANY The Burns Company Lic. No. 605145 Class C27 Contractor's Address Contractor's E-mail Address 630 S El Camino Real 66 City San Clemente State Ca Zip 92672 Telephone 949.388.5928 SETBACKS REAR SETBACKS FRONT PERMIT NO. XZG�L2 13S3 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. I Z! 6 -2 022 USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ L66 . ()Z