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HomeMy WebLinkAboutX2021-0487 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application F_ Comm'I r Residential City of Newport Beach - Building Division -to` l a cjyj7 0 NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL X GFoa+" FX–Building r Grading F -Drainage FX-ElecrMech x Plum CuvdCut Cu Yd Fill F Project Address (Not mailing address) F Flood r Fire r Liq r Landslide FN/A Floor Suite No 1001 Santa Barbara, Unit 1251, Newport Beach, CA 92660I' 1251 DescriptionofWork Use 11-B Const Type R-2 Install a custom wine case with cooling system # StoriesF5 # Units (if Res) 16 Valuation $ $42 500 Material/Labor New/Add SFNone Remodel SF F Garage/New/Add N/A OWNER'S NAME Last Campbell First Steven Owner's Address Owner's E-mail Address 1001 Santa Barbara, Unit 1251 tevengcampbell@cox.net City Newport Beach StateCA Zip F2660 Telephone949-701-8535 APPLICANT'S NAME Last Sperry First iTim Applicant's Address Applicant's E-mail Address 1536 West Embassy Street �Sperry@pacificwestline.com ry@pacificwestline.com City lAnageim State CA Zip 92802 Telephone 14-746-3074 ARCHITECT/DESIGNER'S NAME Last MLeith First Daniel F— Lic. No. Architect/Designees Address Architect/Designer's E-mail Address 1536 West Embassy Street City naheim State CA Zip 92802 Telephone 714-813-3432 ENGINEER'S NAME Last N/A First F Lic. No.F Engineer's Address Engineer's E-mail Address City I State I— Zip �— TelephoneF— CONTRACTOR'S NAME/COMPANY Pacific Westline, Inc. Lic. No. 341331 Class B1 Contractor's Address Contractor's E-mail Address 1536 West Embassy Street sperry@pacificwestline.com City naheim State CA Zip 92802 Telephone714-956-2442 SETBACKS REAR � SETBACKS FRONT PERMIT NO. x?03' , — O� � bT/ SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. aVI ({ fJ�anr� USE ZONE DEVELOPMENT NO PLAN CHECK FEES $