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HomeMy WebLinkAboutX2019-4040 - Permit Application'P, _r, n_t_Form­__1 Worksheet for Combo Building & Solar Permit Application C m'I r Residential City of Newport Beach - Building Division Y £ r NOTE: PLAN CHECK FEES DUE AT TIME OF SUBML /� / V �<„o„.•� XBu (ding r Grading \\ [-Drainage f- Elec F_ Mech F' Plum Cu Yd cut 3U Cu Yd Fill FI _. -._ .. __-- Project Address (Not mailing address) Flood F, Fire F- Liq r Landslide Floor Suite No 6O21ris Description of Work f 1AAA -0 �U/1. Use R-3 Const Type Vb # StoriednUAJ s # Units (if Res)F2 New es en a up ex Valuation $ -7 7 Material/Labor New/Add SF2,952.21 Remodel SFF Garage/New/Add 393.36 ! OWNER'S NAME Last Wolverton First Rick Owner's Address Owner's E-mail Address - 704 Acacia rickwolverton@msn.com City Newport Beach ...__. ---- State CA Zi 92625 TelephoneF714493-_ - p P 714 493 0434 APPLICANT'S NAME Last Andrade First Stan Applicant's Address Applicant's E-mail Address 2880 S Coast Hwy stan@andradearchitects.com City Laguna Hills State CA Zip 92651 Telephone 949 715-7474 r ARCHITECT/DESIGNER'S NAME Last Andrade First Stan Lic. No. C18971 Architect/Designer's Address Architect/Designer's E-mail Address same as applicant - -' City State Zip—Telephone; ENGINEER'S NAME Last Tran: First John Lic. No.F—. Engineer's Address Engineer's E-mail Address 14371 Euclid St, #2F jdtran07@gmail.com City Garden Grove State CA Zip 92843 Telephone 714 265-1200 CONTRACTOR'S NAME/COMPANY Lic. No. F__7 Class F Contractor's Address Contractor's E-mail Address city _ _ State—; Zip Telephoned SETBACKS REAR SETBACKS FRONT PERMIT NO. �'- 1 O� SETBACKS LEFT SETBACKS RIGHT CHECK NO. USE ZONE _PLAN DEVELOPMENT NO PLAN CHECK FEES $ U