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HomeMy WebLinkAboutX2022-1585 - Permit ApplicationWorksheet for Combo Building�vL.,� Print Form City of Newport Beach -Building Division Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Comm'I '(� _ cuvdFill ---- — Mech D? Plum cu vd cut Grading I Drainage (3Z Elec ffD?uilding � � e (�' Liq ('" Landslide �N/A Floor Suite No oject Address (Nod aua o9ot��c; address) f � carnation Avenue - Description of Work lace existing fireplace ! 18 sq. foot kitchen remodel / remove and rep New/Add SF(-- OWNER'S NAME Owner's Address ION AVENUE Remodel SF 218 Last GOBLE Voblegirls@msn-com r's E-mail Address - ____--___-- 40 CARNAT ------- - --- �� 92625 City NEWPORT BEACH Garage/New/Add I First DAN & PAIGE fte IU Const Type I`1 B # Stories(3 # Units (if Res)F Valuation $ 17,500- Material/Labor State CA Zip APPLICANT'S NAME Last rJEH�EBER Applicant's Address ------- - 10 32nd STREET, SUITE 202 NEWPORT BEACH State CA aty ARCHITECT/DESIGNER'S NAME ArchitectlDesigner's Address 10 32nd STREET, SUITE 202 State CA NEWPORT BEACH Last EHEBER Architect/Designer's E-mail Address rajeheber@gmail.com�--------- Zip 92663 Telephone 949-322-3188 First ROD Telephone 26-824-5585 Applicant's E-mail Address - — rajeheber@gmail.com Zip 92663 Telephone 49-322-3188 First ROD Lic. No. Cityy g Lic. No ENGINEER'S NAME Last REZAE.I First LI Engineer's E-mail Address Engineer's Address ali@rce-eng-com 18021 SKYPARK CIRCLE, SUITE E-2 Telephone 49-466-9394 2614 _------ -_ _- Zip -----_ State FGA City IRVINE L Class N Lic. No. CJ t ' CONTRACTOR'S NAME/COMPANY ��� r E-mail Address Contractor's Address state SETBACKS FRONT SETBACKS RIGHT Contralto s cel -- -- Telephone Zip Y PERMIT NO. PLAN CHECK NO. PLAN CHECK FEES $ DEVELOPMENT NO 4