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HomeMy WebLinkAboutH2022-0035 - Permit Applicationt Form omm'I rl Worksheet for Combo Building & Solar Permit Application Residential City of Newport Beach - Building Division J a7._ 0026 NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL /x—Building F_Grading r-IDrainage FXElec ri Mech rX Plum Cu Yd Cut Cu Yd Fill Project Address (Not mailing address) CI Flood r- Fire F- Liq [7 Landslide CN/A� Floor Suite No 223 Jasmine Avenue Description Use R1 Const Type VB Addition / conversion onrof, a)1 st floor enclosed Garage Storage to open outdoor access storage, b) floor P I # Stories 2 # Units (if Res) 1 2nd edueden of Master Bedroom, c) conversion of the Master Deckto an 0—'-- - ' Bath remodel/layout, e) addition of a covered 3rd floor Deck Area at the existing Deck,' f) to iron doors exterior guardrail change wrought _& g)_installation of new _& windows. Valuation New/Add SF 23.43 Remodel SF 399.68 j Garage/New/Add 0.00 a �, Material/Cabo OWNER'S NAME Last Brinton First Todd & Stephanie Owner's Address Owner's E-mail Address 223 Jasmine Ave. stephrbrinton@gmail.com City Corona Del Mar y �— State CA Zip 92625 Telephone 650-575-2731 APPLICANT'S NAME Last George First David Applicant's Address Applicant's E-mail Address 2222 Martin, Suite 210 dave@dga-arch.com City Irvine State CA I Zip 92612 Telephone 949-463-9818 ARCHITECT/DESIGNER'S NAME Last Rhoads �' First TimothyI Lic. No. c 34428 Architect/Designer's Address Architect/Designer's E-mail Address 2222 Martin, Suite 210 timrhoadstra@gmail.com City Irvine 1 State CA Zip 92612 Telephone 808-280-5961 ENGINEER'S NAME Last Patel Burica & Associates, Inc.— —' i First Sharad Patel Lic. No. 5-4488 I Engineer's Address Engineer's E-mail Address 9283 Reasearch Drive spate)@pbastructural.com City Irnne y State CA' Zip 92618 Telephone 949-943-8083 CONTRACTOR'S NAME/COMPANY• Solutio Property Services Lic. No. 1041346 Class Contractor's Address Contractor's E-mail Address 5198 Arlington Ave. Suite 935 Brenton solution ro serv.com @ City Riverside State CA Zip 92504 Telephone 714-809-9957 SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. U USE ZONE DEVELOPMENT NO PLAN CHECK FEES $