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HomeMy WebLinkAboutX2016-3628 - Permit ApplicationPr'Int Form Worksheet for Combo Building & Solar Permit Application 9—WComm I ResidentialCity of Newport Beach - Building DivisionNOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL (Building Grading Drainage lec `Mech Plum Cu vd cut S50 cu Yd Filll C Project Address (Not mailing address) [ Flood j- Fire KLiq (- Landslide J_N/A Floor Suite No Newport Beach, CA 92663 1`- 220 Via San Remo, Description of Work Use SFD ConstType u6 Demolish existing 2-story residence amd contruct new 2-story single family residence w/ # Stories # Units (if Resjs attached 3-car garage. Valuation $ gcor eco Material/Labor New/Add SF ,293 RemodelSF�— Gge/New/Add679 OWNER'S NAME Last Christian - First Jim & Tamara Owner's Address Owner's E-mail Address��/c� 20 Via San Remo info@bja-ino,com City Newport Beach State CA Zip 92663 Telephone 949.645.5854 APPLICANT'S NAME Last Bard First Martin Applicant's Address Applicant's E-mail Address 70 Old Newport Blvd. info@bja-inc.com City Newport Beach State CA Zip 92663 Telephone 949.645.5854 ARCHITECT/DESIGNER'S NAME Last Jeannette First Brion Lic. No. C8012 Architect/Designees Address Architect/Designer's E-mail Address 70 Old Newport Blvd. info@bja-inc.com City Newport Beach State CA Zip 92663 Telephone 949.645.5854 ENGINEER'S NAME Last Deihimi First Fir Lic. No. F78194 Engineer's Address Engineer's E-mail Address 23172 Plaza Pointe Dr. amir@corestructure.com , City Laguna Hills State CA Zip 92653 Telephone 949.954.7244 CONTRACTOR'S NAME/COMPANY rn/1/1 a/1 Class ��� 1 Contractor's Address Contractor's E-mail Address DL13 _ I . Of . k-�-C [ aw1 Aotck_rD ©�mq n(ow rvd City � StateF�W ZipqN0 Teleph�eq--(Q Cc rA "Q u35 SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 7� 5 � , �D USE ZONE I%,, DEVELOPMENT NO PLAN CHECK FEES $ 5 l� 7 • � 7