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HomeMy WebLinkAboutXR2022-2197 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application (— Comm'I r Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL rBuilding r Grading (—Drainage r Elec ect Address (Not mailirn, 15TH ST. NEWPORT BEACH r Mech jX Plum Cu Yd Cutlo Cu Yd Fill r Flood r- Fire j- Liq r Landslide F-N/A Floor Suite No F F Description of Work * REPAIR SAGGING FLR JOIST AT CANTILEVER. REPAIR STUCCO. FOG COAT/MATCH EXISTING PDATE ELECTRICAL. UPGRADE ELECTRICAL SUB PANEL. REPLACE 2 WINDOWS. 0 New/Add SFFO OWNER'S NAME Owner's Address 206 15th st. City Newport Beach Remodel SF 220 Garage/New/Add F0 - Last APPLICANT'S NAME Last First I Maureen Use R-3/U ConstType V-B # Storiesk— # Units (if Res)r 1 Valuation $ [60,000 Material/Labor Owner's E-mail Address _ imcotton@integrated8a.com State Ca. Zip 92657 Telephone (714) 981-4926 First Applicant's Address Applicant's E-mail Address _ 17341 Grovemont St. brett.coombs@sbcglobal.net City Santa Ana State Ca. Zip 92705 Telephone 714-267-6826 ARCHITECT/DESIGNER'S NAME Last Coombs First Randall Lic. No. C19185 Architect/Designer's Address Architect/Designer's E-mail Address 17341 Grovemont St. brett.coombs@sbcglobal.net City Santa Ana State Ca. Zip F2705 Telephone 714-744-1972 ENGINEER'S NAME Last IForbes First Dale Lic. No.L30407 Engineer's Address Engineer's E-mail Address �. 1800 E. 16th St, Unit B. dale@esifine.com City Santa Ana State Ca. Zip 92701 Telephone 714-835-2800 CONTRACTOR'S NAME/COMPANY /J �7�,,,� ��� /. LicNo. � 9 �Class� Contractor's Address I tj C� C7"' �'7 Contractor's E-mail Address ( 7 A 14t i % 1 !�C/%6 2 C,,�to i j. C �r City C A'State Zip �Z� Telephone 7-3(,3=q'�(c�'p e4 SETBACKS REAR SETBACKSLEFT SETBACKS FRONT SETBACKS RIGHT PERMIT NO. PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $