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HomeMy WebLinkAboutX2021-0559 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application ��E�Poam ( Comm'I r Residential City of Newport Beach -Building Division yxij ?�j o NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL rBuilding F_Grading rDrainage rElec F_Mech rPlum Cu Yd Cut Cu Yd Fill Project Address (Not mailing address) F_ Flood [-" Fire r- Liq r Landslide FN/A Floor Suite No 1315 SANTANELLA TERRACE, CORONA DEL MAR, CA. �� I Description of Work Use R-3 Const Type VB # StoriesF # Units (if Res)[ — Valuation$ F 0000 New/Add SF 367 Remodel SFF--�Garage/New/AddF—Material/Labor OWNER'S NAME Last 1PULLIAM First TRACY & BRITTA Owner's Address Owner's E-mail Address 1315 SANTANELLA TERRACE wunszel@bja-inc.com City CORONA DEL MAR State CA Zip 92625 Telephone 9496455854 e213 APPLICANT'S NAME Last LI First WUN SZE Applicant's Address Applicant's E-mail Address 470 OLD NEWPORT BLVD. wunszel@bja-inc.com City NEWPORT BEACH State CA Zip 92663 Telephone 9496455854 ARCHITECT/DESIGNER'S NAME Last JEANNETTE First BRION Lic. No. C 8612 Architect/Designer's Address Architect/Designer's E-mail Address 470 OLD NEWPORT BLVD. wunszel@bja-inc.com City INEWPORT BEACH State CA Zip 92663 Telephone 9496455854 ENGINEER'S NAME Last DEIHIMI First AMIR Lic. No. C78194 Engineer's Address Engineer's E-mail Address 23172 PLAZA POINTE DR. #145 amir@corestructure.com City LACUNA HILLS State CA Zip 92653 Telephone 9499547244 CONTRACTOR'S NAME/COMPANY TBD Lic No. Class Contractor's Address Contractor's E-mail Address City _ State I Zip[_ Telephone — SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ \0 Z 6 c4N