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HomeMy WebLinkAboutX2021-2333 - Permit ApplicationPrint Form A Worksheet for Combo Building & Solar Permit Application rComm'I r Residential City of Newport Beach -Building Division �//�/�J�% NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL jx7Building rGrading rDrainage F_Elec rMech r: Plum Cu YdCut F cu YdFillF Project Address (Not mailing address) r, Flood n Firer Liq n Landslide rN/A Floor Suite No 101 Bayview Place Description of Work Use F Const Type # Stories' #Units (if Res); e o io i g u u e p ing e. '`i m` - -- Valuation$ New/Add SFIO -- Remodel SF 0 —Garage/New/Add 0 $125,000 Material/Labor OWNER'S NAME Last Bernstein First Roger Owner's Address Owner's E-mail Address 400 Water Street Suite 200 roger@oppidan.com City Excelsior State MN Zip 55331 Telephone 952.294.1242 APPLICANT'S NAME Last Le First Thomas Applicant's Address Applicant's E-mail Address 19000 MacArthur Blvd Suite 500 i ThomasL@pancakearchitects.com City Irvine State CA Zip 92612 Telephone 510.219.6202 ARCHITECT/DESIGNER'S NAME Last Pancake First [Douglas ', Lic. No. C-27254 Architect/Designer's Address Architect/Designer's E-mail Address 19000 MacArthur Blvd Suite 500 dougp@pancakearchitects.com City Irvine State CA Zip 92612 Telephone 949.720.3850 ENGINEER'S NAME Last First I+ Lic No.F_ Engineer's Address Engineer's E-mail Address City State F_— Zip I Telephoned-.. CONTRACTOR'S NAME/COMPANY Frank Manrique / W.E. O'Neil Lic. No. Contractor's Address i100/866335� QClass Contractor's E-mail Address 201 Lomas Santa Fe Drive Suite 380 FManrique@weoneil.com City Solana Beach State CA Zip 92075 Telephone 310.678 1197 gid PI rte mN r_ SETBACKS REAR 2 SETBACKS FRONT PERMIT NO. X �ZJJ 2333 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO D 20Z1 d��� PLAN CHECK FEES $