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HomeMy WebLinkAboutX2021-0183 - Permit ApplicationPrtotfom,El Worksheet for Combo Building & Solar Permit Application r Comm'I r Residential City of Newport Beach - Building Division n / 4/ lu f} NOTE: PLAN CHECK FEES DUE AT TIME 0F.q1 iRMrrrni !�l rBuilding r Grading rDrainage rX Elec rMech r Plum CuvdcutF cuvdFill Project Address (Not mailing address) r Flood r Fire r Liq r Landslide rN/A Floor Suite No 1207 Berkshire Ln � �. F— F— Description of Work Use F—ConstType F— # Stories[— # Units (if Res)F— Freestanding open am parlo c I wee ica i rg a itdiee Valuations 12,000 Material/Labor New/Add SF 242 Remodel SF �— Garage/New/Pod �— OWNER'S NAME Last Larkin First Owner's Address Owner's E-mail Address 1207 Berkshire Ln City Newport Beach State Ca Zip 92660 Telephone 714.653.0298 APPLICANTS NAME Last Ellison First Paul Applicant's Address Applicants E-mail Address 24642 Via Raza paul@dpspennits.com City Lake Forest State CA Zip 92630 Telephone 949.683.9861 J' ARCHITECTIDESIGNER'S NAME Last �— First F— Lic. No. �— Architect/Designer's Address Architect/Designer's E-mail Address City �— State �— — Zip �— Telephone[ ENGINEER'S NAME Last Silva FirstChristina Lic. No.37201 Engineer's Address Engineer's E-mail Address 24482 Muela City Mission Viejo State Ca Zip 92692 Telephone 949.683.6695 CONTRACTOR'S NAME/COMPANY Blue Pacific Pools Lic. No. 923454 ClassC27 Contractor's Address Contractor's E-mail Address 25108 Marguerite Pkwy #A79 City Mission Viejo State Ca Zip 92692 Telephone 949.367.9710 SETBACKS REAR SETBACKS FRONT PERMIT NO.A/a \U ✓ SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $