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HomeMy WebLinkAboutX2022-0529 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application r Comm'I r Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL FXBuilding r Grading IXDrainage (XElec r Mech rX Plum CuYdCut Fo CuYdFill F Project Address (Not mailing address) r Flood r Fire r Liq r Landslide rN/A Floor Suite No F 1527 Dorothy Lane Description of Work Use Const Type F VB New Outdoor Built-in Bar-B-Que and Manufactured Gazebo and Fire pit # Stories Units (if Res) ` l�,_e_ 4o (" _ New/Add SF 168 Remodel SFF Garage/New/Add—' Valuation $ 7,000.00 Material/Labor OWNER'S NAME Last Savai'i First Amito'elau Owner's Address Owner's E-mail Address 1527 Dorothy Lane valcanoman@roadrunner.com City Newport Beach State CA Zip F 92660 Telephone 949.2752727 APPLICANT'S NAME Last Bonds f First Dennis Applicant's Address Applicant's E-mail Address 661 Surf St. dennis@coonanbonds.com City Costa Mesa - - State FcA _ Zip 92627 Telephone 714.224.8587 ARCHITECT/DESIGNER'S NAME Last Bonds First Dennis Lic. No. 11904 Architect/Designer's Address ArchitecUDesigner's E-mail Address 661 Surf St. dennis@coonanbonds.com City Costa Mesa State CA ZIP 92627 Telephone 714.224 8587 ENGINEER'S NAME Last First F Lic. No.1 Engineer's Address Engineer's E-mail Address City �v State ! Zip r® Telephoner i CONTRACTOR'S NAME/COMPANY Lic. No. ClassF Contractor's Address Contractor's E-mail Address City State F Zip F Telephone SETBACKS REAR 6'-0" SETBACKS FRONT 20'-0" PERMIT NO. SETBACKS LEFT 6-0" SETBACKS RIGHT 6-0" PLAN CHECK NO. L4-7 h _ USE ZONE DEVELOPMENT NO PLAN CHECK FEES $