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HomeMy WebLinkAboutX2021-0444 - Permit Application (4)Eom, Worksheet for Combo Building & Solar Permit Application Cnmm'1 RcSjdvnYlal (,Ity of Nnwpn(1 Hnach liuilding Division 'A �mt _�k� NOW P( A14 CI II CK I"I F.- D01- AT TIMF. OF: SURMITTAt. - U4 NBuildmg (' t,Iadinti F Dlainagr ( Ile( i McKh ( 11hun nrrd(W r,jYdFlu�� Project Address (Not mailing address) I I lood h iiIry f l i(I rV tand;hd f N/A Floor Suite No 24 SANDY COVE Y -7 bf Description of Work Use ( SFR Contt T e VB I yp a Stories # Units (if Res)F- I1. KI1 CHEN11 AMILY/ENTRY AND BATHROOM REMODEL 2. NEW M.BEDROOM ADDITION 3-6t9PE3OMi-t+'ANSiON-A--NEW"ATfiROOM�.-VEW-WAEK-IN-CtG5E-T — -7 - Z [1 13 13r valuation 5 New/Add SF ?;; 7 Z 6 Remodel SF ; Cj I Z Garage/New/Add I 219,000 Materialltabor OWNER'S NAME Last DELANOY First MELANIE & DOUG Owners Address Owner's E-mail Address 24 SANDY COVE City NEWPORT BEACH State CA Zip I Telephone 949- 56-6554 APPLICANT'S NAME Last Richart First Jason Applicant's Address Applicant's E-mail Address 1041 W. 18th St, (Al06) Jason@richartdesign.net City Costa Mesa State CA Zip 92627 Telephone Fq49-422-9191 ARCHITECT/DESIGNER'S NAME Last Richan First Jason LicNo. Architect/Designees Address Architect/Designer's E-mail Address 10 11 W. 1Bth St, (A106) Jason@richartdesign.net City Costa Mesa State CA Zip 92627 Telephone 949-422-9191 ENGINEER'S NAME Last GHAZLANI First ANDY Lic. No. 60S67 Engineers Address Engineers E-mail Address 1021 E. CARSON ST. STE #5 City LONG BEACH, State CA Zip 90807 Telephone) 562-253.2385 CONTRACTOR'S NAME/COMPANY LL&jD C0/ii7/ 1AX , LIe. No. c)"v ( Class �V Contractors Address Contractors E-mail Address Fi -4 / Mo eeo C- � 1 11!�ho�la�,e�CoWS)VLt��1; sr,� Iqj Cily lr�UlvA jt Jj(7I(r; L State L� ��� Telephone--- Zip SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. -� j, • �p y( USE ZOIJE DEVELOPMENT NO PLAN CHECK FEES $ ✓ • \—Y C