HomeMy WebLinkAboutX2022-1670 - Permit Application4r;ntForm�'; : Worksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building DivisionAV
�� Cwnm'I Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
XBuilding [-Grading [—Drainage (—Elec [-,Mech [-Plum CuYdCut F CuYdFill
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Project Address (Not mailing address) [-; Flood j-, Fire r Liq F- Landslide [-N/A Floor Suite No
616, 1 Bedford Lane
round arage
Description of Work
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Use&R2 ConstType ✓-B
OLUN ARYSOETSTORYSEISMICRETROFITWITHSPECIALCANTILEVEREDSTEELCOLUMNSAT
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F Stories rt Units (if Res)! ' b'
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IVETUCM UNDCRGARAGES
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New/AddSF� Remodel SF� [to 53
Garage/Nesdfi.dd
Valuation 5
(Material/Labor F70#), ��_._
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OWNER'S N.AY;AE Last �CFi.. FRONT WP.TERFCRD DCVI Firs' PC JER JV,_.LLC
Cwner's Add res,
Uo-vne:'s E-ma.' ASdrzss �
f 645 LONG B f',t H BLVFj
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City i.GIJG B A ,H State A
Zip PUS'1' Telzphone 62-264 5078 — I
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ENGM't_R'1.f..PVV` LastPa'eia
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Engineer's Address
Enr near'?. E-mail Address
P_4702 Narbonne Ave
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City Foliila State FA —
Zip 0717 —` Telephon+0-294-8111 —'
CONTrACTOR'SNAME/COMPANY .B.D,
Lic.No.. �702Classl -
Contractor's Address
Conractor's E-mail Address OT300 Al447
City State F
Zip TelephcneF—
SETBACKS REAR SETBACKS FRONT
_ PERMIT NO. XeL&— ` Lao
SETBACKS LEFT SETBACKS RIGHT
_
— — PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $
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