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HomeMy WebLinkAboutX2021-3306 - Permit ApplicationPrint Form_ Worksheet for Combo Building & Solar Permity Application r— Comm'I F— Residential City of Newport Beach -Building Division2pZ1— ?J ((I NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL [Building (- Grading [—Drainage F-Elec j—Mech F`Plum cuvdCut r CuvdFill F Project Address (Not mailing address) F- Flood r Fire r— Liq F— Landslide CN/A Floor Suite No 14 BEACON BAY F N/A Description of Work Use F ConstType CONVERT INTERIOR PORTION OF AN EXISTING SINGLE -UNIT DWELLING TO A JUNIOR ADU # Stories[_ # Units (if Res)F— (JADU) CONTAING AN EFFICIENCY KITCHEN, FULL BATH, AND CLOSET ALL UNDER 500 SF. New/Add SF 0�— Remodel SF F0 Garage/New/Add F_ Valuation $ Material/Labor OWNER'S NAME Last HELFRICH First FAMES Owner's Address Owner's E-mail Address 14 BEACON BAY AKEWINKLE@GMAIL.COM City NEWPORT BEACH State CA Zip 92660 Telephone 49.873.3125 APPLICANT'S NAME Last NI �' First CHELSIE Applicant's Address Applicant's E-mail Address 3857 BIRCH ST. #460 CHELSIE@WINKLECUSTOMHOMES.COM City NEWPORT BEACH State CA Zip 92660 Telephone 949.566.8543 ARCHITECT/DESIGNER'S NAME Last First [_' Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City I- _ _`.. State F___— Zip F_®- Telephoner. ENGINEER'S NAME Last First F— Lic. No.F_' Engineer's Address Engineer's E-mail Address City �— State F_- Zip F_TelephoneF_ CONTRACTOR'S NAME/COMPANY IWINKLE CUSTOM HOMES Lic No. 992007 Class FB Contractor's Address Contractor's E-mail Address 3857 BIRCH ST. #460 CHELSIE@WINKLECUSTOMHOMES.COM City NEWPORT BEACH �� State CA Zip92660 Telephone949.566.8543 SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO, USE ZONE DEVELOPMENT NO PLAN CHECK FEES $