HomeMy WebLinkAboutS2021-0006 - Permit Application (2)Print Form ' Worksheet for Combo Building & Solar Permit Application o�`W
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City of Newport Beach - Building Division v U U b o Comm'I R Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 4v2L
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QBuilding F -"Grading
Drainage FEZ, Elec F-, Mech RPlum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) C' Flood F- Fire F_ Liq F-, Landslide rN/A Floor Suite No
1107 HIGHLAND DR
Description of Work
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Use FI Const Type—,
FIREPLACE,
NEW GAS FOR FIRE
PLACE AND BBQ, NEW BLOCK WALL ALONG REAR PL
# Stories; #Units (if Res)'
Valuations `
Material/Labor `
New/Add SF�
Remodel SFGarage/New/Add �—!
OWNER'S NAME
Last HEMPSTEAD FirstSTEVEN
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Owner's Address
-
Owner's E-mail Address
1107 HIIGHLAND DR
City NEWPORT BEACH State CA Zip 92660 Telephone
APPLICANT'S NAME
Last BURRESS First RYAN
Applicant's Address
Applicant's E-mail Address
PO BOX 7326
RYAN@RYANDBURRESS.COM
City NEWPORT BEACH
State CAZip 92658 Telephone F711-975-1434
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ARCHITECT/DESIGNER'S NAME Last BURRESS First RYAN Lic. No. F_
Architect/Designer's Address
Architect/Designer's E-mail Address
PO BOX 7326
City NEWPORT BEACH
State FA Zip 2658 Telephone 14-975-1434
ENGINEER'S NAME
Last FORGES - First DALE Lic. No.30407
Engineer's Address
Engineer's E-mail Address
1800 E 16TH ST ST B
City SANTA ANA
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State CA Zip Telephone�—
CONTRACTOR'S NAME/COMPANYl . 3, Class!,
Contractor's Address
Contractor's E-mail Address
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City C0S � % "M State CF_ Zip Telephone ,
SETBACKS REAR —j- V SETBACKS FRONT �I PERMIT NO. IIVZI—R71o2
SETBACKS LEFT\%
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE ,� ` \p pCA�
DEVELOPMENT NO PLAN CHECK FEES $