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HomeMy WebLinkAboutXR2023-0341 - Permit ApplicationPrint FormWorksheet for Combo Building & Solar Permit Application 011--p F_ Comm'I Residential City of Newport Beach - Building DivisionNOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTALr rBuilding r Grading rDrainage FX_Elec (K Mech (K Plum CuvdCut 750 CuYdFill 750 Project Address (Not mailing address) r- Flood r Fire r Liq r" Landslide P(NIA Floor Suite No 302 Kings Road �— Description of Work Use R Const Type V-B Spr. Demolition of existing 3 bedroom 2,624 s.f. house; Project to consist of a new 6,413 s.f. # Stories # Units (if Res) single army ouse wl n a ace nc ose ca g g o The house will be 3 stories New/Add SFK,134W[RemodeISFF0 Garage/New/Add 649 Valuation $ Material/Labor 1,600,000 OWNER'S NAME Last Hyun First Chris Owner's Address Owner's E-mail Address 14930 Alondra Blvd. chris@leftbankart.com City La Mirada State CA Zip 90638 Telephone 562.623.9328 APPLICANT'S NAME Last Aust First Eric Applicant's Address Applicant's E-mail Address 62 Balboa Coves aust.architect@gmail.com City Newport Beach State CA Zip 92663 Telephone 949.637.5220 ARCHITECT/DESIGNER'S NAME r�� Last Aust First Eric Lic. No. C-29374 Architect/Designees Address Architect/Designer's E-mail Address 62 Balboa Coves aust.architect@gmail.com City Newport Beach State CA Zip 92663 Telephone 949.637.5220 ENGINEER'S NAME Last Allen First Thomas Lic. No. 55460 Engineer's Address Engineers E-mail Address 2 Venture, Suite 200 rolson@wrightengineers.com City Irvine State CA Zip 92618 Telephone 949.477.4001 CONTRACTOR'S NAME/COMPANYall'msent—TL"✓ '�`� Lic No. �?69% Class T F Contractor's Address Contractor's E-mail Address City c�ZJt�D� DEi State CA Zip l Z, Z5 Telephone fi4(l ?Z- /669 SETBACKS REAR SETBACKS FRONT PERMIT NO. iQ'I,0 21 - o (02a SETBACKS LEFT SETBACKS RIGHT PLAN CHECK N0. DSro�b — Zo2 USE ZONE DEVELOPMENT NO '2W2L 0 ill PLAN CHECK FEES $ S 0 r J v Print Form Worksheet for Combo Building & Solar Permit Application [- Comm'I [- Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL V� [—Building Grading [-Drainage F Elec [- Mech [- Plum Cu vd cut F CuYd Fill F Project Address (Not mailing address) F Flood [- Fire [- Liq [- Landslide [-N/A Floor Suite No QAkcription of Work Use Const Type Y� # Stories # Units (if Res)r� iew/Add S � Remodel SF �� Garage/New/Add F_Material/Labor Valuation 5 OWNER'S NAME Last First Owner's Address Owner's E-mail Address City F State �— Zip F Telephoner_ APPLICANT'S NAME Last First Applicant's Address Applicant's E-mail Address CiTy F State F Zip F_ Telephone[— ARCHITECT/DESIGNER'S NAME Last F_ First 7— Lic. No. F_ Architect/Designer's Address Architect/Designer's E-mail Address City I— State F— Zip [_ Telephoned ENGINEER'S NAME Last First F_ Lic. No.F Engineer's Address r Engineer's E-mail Address City �— State F_ Zip F_ Telephoned CONTRACTOR'S NAME/COMPANY Lic No. F_ Class F— Contractor's Address �--- - Contractor's E-mail Address City F— State F_ Zip �� Telephone[ SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $