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HomeMy WebLinkAboutXR2023-2075 - Permit Application7— Print Form Worksheet for Combo Building &,Solar Permit Application oFe�o-Po"a f-" Comm'I IX Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL (Building r Grading rDrainage r—Elec r—Mech r Plum Cu vd Cut Cu Yd Fill l Project Address (Not mailing address) F_ Flood F_ Fire r Liq (— Landslide (KN/A Floor Suite No E OCEANFRONT 218 Description of Work Z ra a Use sfr ConstType vb Replace WINDOWS AND DOORS. Replace Exterior finishes Replace roof # StoriesF2 # Units (if Res) SF� Remodel SF F2574 Garage/New/Add F— Valuation $ F11New/Add Material/Labor0 OWNER'S NAME Last JENKINS First TONY Owner's Address Owner's E-mail Address 218 E OCEAN FRONT City Newport Beach State CA Zip F—TelephoneF— APPLICANT'S NAME Last Richart First Jason Applicant's Address Applicant's E-mail Address 1041 W. 18th St, (A106) Jason@richartdesign.net City Costa Mesa State CA Zip 92627 Telephone 949-422-9191 ARCHITECT/DESIGNER'S NAME Last Richart First Jason Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address 1041 W. 18th St, (A106) Jason@richartdesign.net City Costa Mesa State CA Zip 92627 Telephone 949-422-9191 ENGINEER'S NAME Last ORE STRUCTURE First F_ Lic. No. C78194 Engineer's Address Engineer's E-mail Address 3172 PLAZA POINTE DR. # 145 City LAGUNA HILLS State CA Zip 92653 TelephoneF— CONTRACTOR'S NAME/COMPANY G / Lic. No. 1T )5 (b Class �i r"L•�il'l�t-� C,f +- -1 h2 �C�fj,�ti Contractor's Address Contractor's E-mail Address City \i\CiT r" State 111 ZipP ;_.t v Telephone T77i "'1 7V lLitt 1 SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. L ` 11 USE ZONE DEVELOPMENT NO L () l PLAN CHECK FEES $