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HomeMy WebLinkAboutX2021-0444 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application ° EW°°^rm r- Comm'I F_ Residential City of Newport Beach - Building Division x �_��N q /7� NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL G IZBuilding r Gradin Dr inage j—Elec ( Meth j Plum cuvdcutr CuYdFillr— Project Address (No mailing address) (� Flood re j- Liq Landslide _N/A Floor Suite No 24 SANDY COVE L� ^ 7 q J 1 F_ �— Description of Work Use SFR Contt Type VB 1. KITCHEN/FAMILY/ENTRY AND BATHROOM REMODEL 2. NEW M.BEDROOM ADDITION EXPAN � # Storied' # Units (if Res)r— { (�"rC�l/4 1 -7� L 1 Valuation $ F21,000 Material/Labor New/Add SF � 7 Z 6 Remodel SF 549 Z Garage/New/Add �� OWNER'S NAME Last DELANOY First MELANIE & DOUG Owner's Address Owner's E-mail Address 24 SANDY COVE City NEWPORT BEACH State CA Zip F Telephone 949-656-6554 APPLICANT'S NAME Last Richart First Jason Applicant's Address Applicant's E-mail Address 1041 W. 18th St, (A106) Jason@richartdesign.net City Costa Mesa State CA Zip 92627 Telephone 949-422-9191 ARCHITECT/DESIGNER'S NAME Last Richart First Jason Lic. No. �— Architect/Designer's Address Architect/Designer's E-mail Address 1041 W. 18th 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. 60867 Engineer's Address Engineer's E-mail Address 1021 E. CARSON ST. STE #5 City LONG BEACH, State CA Zip 90807 Telephone 562-253-2385 CONTRACTOR'S NAME(COMPANY ,//, /i G� � 6-D�e7., /�G Lic. No. � ?) r� Class !'V�H-� Contractor's Address Contractor's E-mail Address 7i�6D81 Oblo L eo ,:-`T- City �— kj4E7�M {v(IgirnC_v,ti+ G��---u"A State Zip1q1,,v? Telephoner- �& SETBACKS REAR SETBACKS FRONT ' PERMIT NO. xW1 �^^"nnV`CT'�(I SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. V'TLZ' Lp y( USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ IV, % C