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HomeMy WebLinkAboutX2022-0640 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application City of Newport Beach - Building Division ` a (— Comm'I jX Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL X1 tta n640 rBuilding F_Grading v FDrainage rElec FMech r-Plum CuvdCut s CuYdFill s Project Address (Not mailing address) f— Flood j— Fire r Liq r Landslide FN/A Floor Suite No 5 Rue Biarritz I F Description of Work Use I*? lom^ ConstType VB # Stories[ # Units (if Ress sq. Tt. Bathroom remodel. Valuation $ $35,000. Material/Labor New/Add SFFO— Remodel SF 201 Garage/New/Add F OWNER'S NAME Last LI First JIAJUI Owner's Address Owner's E-mail Address 5 RUE BIARRITZ joeorangela@gmail.com City NEWPORT BEACH State CA Zip 92660 Telephone (949) 656-1116 APPLICANT'S NAME Last Howell First Elizabeth Applicant's Address Applicant's E-mail Address 20561 SUBURBIA LANE LIZ@SKYVIEWHOMES.COM City HUNTINGTON BEACH State CA Zip 92646 Telephone (714)963-4600 ARCHITECT/DESIGNER'S NAME Last Howell First Elizabeth Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address 20561 SUBURBIA LANE LIZ@SKYVIEWHOMES.COM City HUNTINGTON BEACH State CA Zip 92646 Telephone (714)963-4600 ENGINEER'S NAME Last Dao First Vihn Lic. No. C 78147 Engineer's Address Engineer's E-mail Address 13191 Dean St. vinh@squarelstructural.com City Tustin State CA Zip 92780 Telephone 714) 423-6332 CONTRACTOR'S NAME/COMPANY Pacific West Lic. No. (a�,Z3 Z Class Contractor's Address Contractor's E-mail Address z, l ¢Z W �- city ; l , I or�T State �/— ZiPF-9 Z Z „ Telephone •� (O Gl�oS SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. bSQf(!•�j.Q USE ZONE DEVELOPMENT NO t-WZ.1 A2)h PLAN CHECK FEES $