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HomeMy WebLinkAboutXR2022-2044 - Permit ApplicationPrint Form Worksheet for rrCkombo Building & Solar Permit Application fde2 �2 Z� 2 r c7 ,ity of Newport Beach - Building Division F- Comm'I r Res ntial NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL F-Building r Grading [—Drainage r Elec r Mech r Plum Cu Yd Cut Cu Yd Fill r Project Address (Not mailing addressod r Fire r Liq r Landslide rN/A Floor Suite No 813 W BALBOA BLVD t 7 F_ 1/2 Description of Work Use [_ Const Type F_ REMODEL REAR UNIT AND GARAGE # SioriesF_ #Units (if Res) New/Add SFF__ 18 Remodel SF 812 Garage/New/Add 3 Valuation $ Material/Labor 120,000 OWNER'S NAME Last WALLACE First JILL Owner's Address Owner's E-mail Address 13 W BALBOA BLVD City NEWPORT BEACH State CA Zip 92661 Telephone 714-514-6455 APPLICANT'S NAME Last WALLACE First jILL Applicant's Address Applicant's E-mail Address City State F— Zip F Telephoned ARCHITECT/DESIGNER'S NAME Last JAMES First BALDING Lic. No. C-26436 Architect/Designer's Address Architect/Designer's E-mail Address 385 GLASSELL ST JIM.BALDING@THEANTGROUP.CC) M City ORANGE State CA Zip 2866 Telephone 949-354-4434 ENGINEER'S NAME Last i L First �� ✓�/� Lic. No.1 Engineer's Address �J - Engineer's E-mail Address 3 \ 7 City State F_ Zip F_ Telephoned CONTRACTOR'S NAME/COMPANY Lic. No. Class F_ Contractor's Address Contractor's E-mail Address City State F Zip F Telephoned SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $