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HomeMy WebLinkAboutX2022-1673 - Permit Application. Print Form Worksheet for Combo Building & Solar Permit Application F- Comm'I F, Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL X,,Building F_ Grading F—Drainage F—Elec F—••Meth F— Plum Cu Yd Cut Cu Yd Fill Project Address (Not mailing address) f— Flood F_ Fire F_ Liq i— Landslide FN/A Floor Suite No 1700,Bedford Lane round arage of Work TUCK -UNDER GARAGES New/Add SF Remodel SF Garage/New/Add 1 OWNER'S NAME Last OCH. FRONT WATERFORD Owner's Address LONG BEACH BLVD. City ONG BEACH State APPLICANT'S NAME Last Applicant's Address 4702 Narbonne Ave. City omita. — State FA ARCHITECT/DESIGN ER'S NAME Lastl ArchitecUDesig ner's Address l City State Use F&IR2 ConstTypeF # StoriesF # Units (if Res) c2 Valuation 5 Material/Labor 0,000 OVI First OVER JV, LLC Owner's E-mail Address tina@bfpminc.com Zip 0807 Telephone 62-264 5078 First Applicant's E-mail Address elia@ggstructures.com Zip P0717 Telephone 10-294-8111 First L Lic. No. F— Architect/Designer's E-mail Address Zip �� Telephoned ENGINEER'S NAME Last j3wcia First ionel Lic. No. 4653 Engineer's Address 4702 Narbonne Ave. City lLomita State Engineer's E-mail Address �ngi'neer@ggstructures.com Zip FLI7 Telephone 10-294-8111 CONTRACTOR'S NAME/COMPANY g D Lic No. �— Class F7 Contractor's Address City _ State SETBACKS REAR SETBACKS FRONT SETBACKS LEFT USE ZONE SETBACKS RIGHT DEVELOPMENT NO Contractor's E-mail Address Zip Telephone PERMIT NO. PLAN CHECK NO. PLAN CHECK FEES $ r