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HomeMy WebLinkAboutX2019-2960 - Permit ApplicationPrint Form Worksheet for Combo Building &Solar Permit Application rl 001145215� F- Comm'I R Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL DZ,Building F_ Grading rDrainage rElec j—Mech rPlum Cu Yd Cut Cu Yd Fill Project Address (Not Mailing address) F_ Flood r Fire [_ Liq j— Landslide I-N/AFl000rr Suite No 5 Old Course Dr Newport Beach CA 92660 Description of Work Use SFR ConstTypeV B Installation of Stiltz Home Lift/ Framing of Headout for Lift opening # Stories[ # Units (if Resf I Valuation $ New/Add SF N/A Remodel SF N/A Garage/New/Add F 31,150.00 Material/Labor OWNER'S NAME Last Fisher First Cordell Owner's Address Owner's E-mail Address 95 Old Course Dr cfisher24k@gmail.com City Newport Beach State CA Zip 92660 Telephone 49-721-1331 APPLICANT'S NAME Last Fisher First Cordell Applicant's Address Applicant's E-mail Address 95 Old Course Dr cfisher24k@gmail.com City Newport Beach State CA Zip 92660 Telephone F949-721-1331 ARCHITECT/DESIGNER'S NAME Last Benjamin First mgad Lic. No. C64449 Architect/Designer's Address Architect/Designees E-mail Address 34210 Moulton Parkway, Suite 0-105 ab@sanminaeng.com City Laguna Hills State CA Zip 92637 Telephone 949-446 -1417 ENGINEER'S NAME Last San Mina Enginering, Inc First_ Lic.No.C64449 Engineer's Address Engineer's E-mail Address 34210 Moulton Parkway, Suite 0-105 ab@sanminaeng.com City Laguna Hills State CA Zip 92637 Telephone F949-446-1417 CONTRACTOR'S NAME/COMPANY ccess to Freedom Lic. No. 786659 Class f B Contractor's Address Contractor's E-mail Address 9272 Jeronimo Rd #111 accessrick@gmail.com City Irvine State CA Zip 92618 Telephone 9F49-472-4900 SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $