HomeMy WebLinkAboutX2021-0490 - Permit ApplicationL.t..
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Print Form ;, Worksheet for Combo Building & Solar Permit Application 1-721m
Comm'] 5< Residential City of Newport Beach - Building Division 4
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
.Building FGrading rDrainage DKElec XMech X,Plunl uyd Cut Cu Yd Fill
Project Address (Not mailing address) r Flood (`, Fire r Liq j- Landslide [—.N/A Floor Suite No
129 40th Street. Newport Beach, CA 92663The F_ F—
-
�seriptior�f ork
UseR3/U Const Type V -B
he removal of non -approved interior non -load bearing additons & repairing the structure
# StoriesF2 # Units (if Res)F_2
o its original condition.
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del SFJ.2 SF Garage/New/Add I O
Valuation $
Material/Labor $ ' 0
OWNER'S NAME Last
Adnoff First Connie
Owner's Address
Owner's E-mail Address
204 - 34th Street
Connie@beachviewre alty.comDonald
City Newport Beach
11 11
State CA Zip 92663 Telephone 949-466-7542
APPLICANT'S NAME Last
Lee First I Donald ''..
Applicant's Address
Applicant's E-mail Address
2501 - N. Hartman Street
don@homedesignarchitects.com
«
City I Orange
State CA Zip 92865 Telephone714-998 1549
ARCHITECT/DESIGNER'S NAME
Last Lee First Donald _ -. Lic. No. Fc10411.._
Architect/Designer's Address
_ Architect/& igner's E-mail Address
2501 - N. Hartman Street
on@homede�ignarchitects.com
Cit orange
Y g
State CA Zi 92865 Tele hone 714-998-1549
F—:. P �— P �—,...
ENGINEER'S NAME Last
— First F_ Lic. No f
Engineer's Address
Engineer's E-mail Address
City
State- Zip. TelephoneJV'
CONTRACTOR'S NAME/COMPANY
Sean P. Lacey Lic. No. F786311 ! F—
Contractor's Address
GClass
Contractor's E-mail AddressT:�LL�'1�-F
3015 Astoria Streetsplcorp2D04@gmaii.com
City ( Corona
State CA Zip 1 92879 Telephone 949-943-7914
SETBACKS REAR
SETBACKS FRONT l b / PERMIT NO.
SETBACKS LEFT �—
SETBACKS RIGHT 3 PLAN CHECK NO. ns 0
USE ZONE ')Z— -2-
DEVELOPMENT NO PLAN CHECK FEES $