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HomeMy WebLinkAboutX2016-3833 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application a�W`Rs �� pp o Comm] Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL }URµ (XlBuilding [7 Grading F-Drainage r Elec r Mech r' Plum Cu Yd Cut Cu Yd Fill . Project Address (Not mailing address) r7 Flood rl Fire [7 Liq F7 Landslide fX_N/A Floor Suite No 1709 HIGHLAND DRIVE ......... Description of Work Use VB R3 Const Type 69 LF OF NEW 6' HIGH CMU SITE WALL. S 1 � __ J L L e �� # Stories_ # Units (if Res) IFF_'' 651_17 OF NEW 24'HIGH I SI I E VV . �� S T�� o C.iL-u�c�. I� F�A�-�Flt6�WA9B-f�fdC-ii�r. ......... Valuation $ Material/Labor $50,000.00 - New/Add SF Remodel SF� Garage/New/Add ' OWNER'S NAME Last SMG-1709 LLC First CONTACT: PHIL RUTTEN Owner's Address Owner's E-mail Address 1801 TAHUNA TERRACE prutten@earthlink.net City 11 NEW11 PORT BEACH State CA Zip 92625 Telephone 626.826.9552� APPLICANT'S NAME Last STEVENS First BENJAMIN Applicant's Address Applicant's E-mail Address 25251 VIA PI1. E1. DRA BLANCA .11 ben@benjaminjohnstevens.com City LAGUNA NIGUEL State CA Zip 92677 Telephone 949.680.8616 ARCHITECT/DESIGNER'S NAME Last STEVENS First BENJAMIN Lic. No. 32310 Architect/Designer's Address Architect/Designer's E-mail Address 25251 VIA PIEDRA BLANCA ben@benjaminjohnstevens.com _ City LAGUNA NIGUEL State CA ......... Zip 92677 Telephone 949,680.8616 F ENGINEER'S NAME Last GIBBS First ERIK Lic. No. 81137 Engineer's Address Engineer's E-mail Address 25991 AVENIDA MARIPOSA sc-engineering@cox.net City SAN JUAN CAPISTRANO State CA Zip 92675 Telephone 949.310.7329 CONTRACTOR'S NAME/COMPANY lItbd _ ............. Lic. No. 828216 Class B Contractor's Address I Contractor's E-mail Address ..... _ ............ . ............. City State Zip Telephone SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. ZOI� USE ZONE DEVELOPMENT NO PLAN CHECK FEES $