HomeMy WebLinkAboutX2021-1581 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application
Cityof Newport Beach - Building Division
jX. Comm'I ri Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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�i'BuIIding [Grading
rIDrainage Fx_Elec IX;Mech j 1Plum CuvdCut CuYdFill
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Project Address (Not mailing address) f7 Flood r Fire r! Liq r Landslide C'N/A Floor Suite No
3443 Pacific View Drive ——'I
Description of Work
Use ConstType II-B
Associated Sitework:Trash
enclosure
($120K), Retaining Walls ($650K),
# Stories # Units (if Res)F7
New/Add SF -I
--
Remodel SF�- Garage/New/Add ga/New/Add J i
Valuation $ F$77O,000
Material/Labori
—
OWNER'S NAME
Last Evans First ngi
Owner's Address
Owner's E-mail Address
3443 Pacific View Drive
City Corona Del Mar
State CA Zip 92625 Telephone 49-640-1410 x20Fi
APPLICANT'S NAME
Last Babic - First Niko
Applicant's Address
Applicant's E-mail Address
5301 California Ave, #100
-II nbabic@lpadesignstudios.com
Cit Irvine
Y
-
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i State CA i Zip 92617 I Telephone 949-701-4050 �
-
ARCHITECT/DESIGNER'S NAME
Last �AVE
First Lic. No. 5i4 bZ.'''
Architect/Designer's Address
Architect/Designer's E-mail Address
5301 CAt liFo2NrAg21e17Ji @_
EAU El lP_ADES 1GN SfuD
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Ci 1(1.- IN�
tv v
State Zip Telephone
i I— °I7 .-N-ST -DI
pvt
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ENGINEER'S NAME
Last First Lic No.
Engineer's Address
Engineer's E-mail Address
City
State —, Zip Telephone
F
CONTRACTOR'S NAME/COMPANY Lic No. Class
Contractor's Address
C
Contractor's E-mail Address
city
State F— Zip F�' Telephone—,
SETBACKS REAR
SETBACKS FRONT PERMIT NO. ,CGod I - 1 15?'
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $