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HomeMy WebLinkAboutX2017-3200 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application o�`°� r Comm'I Residential City of Newport Beach - Building Division � ,a = NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL FXBuilding F_ Grading F—Drainage r Elec r Mech r Plum CuvdCut l CuYdFill F Project Address (Not mailing address) r Flood r Fire r Liq r Landslide rN/A Floor Suite No Description of Work Use F—ConstType f #Stories #Units (if Res) L Eif(-ACG: til f�I�JIJ(��TIrLS 1�F�JI� ry� Sf�IY� -�-�/ Valuation$/Q�'a93 Material/Labor l New/Add SF N/A Remodel SF N/A Garage/New/Add N/A OWNER'S NAME Last Irvine Company First Owner's Address Owner's E-mail Address 550 Newport Center Drive City Newport Beach State CA Zip F2660 Telephone F14-646-3462 APPLICANT'S NAME Last King Recon First Applicant's Address Applicant's E-mail Address 34401 Via San Juan #B 'ason@kingrecon.com City Capistrano Beach State CA Zip 2624 Telephone 949-370-0303 ARCHITECT/DESIGNER'S NAME Last First Lic No. �— Architect/Designees Address Architect/Designer's E-mail Address City State Zip TelephoneF— ENGINEER'S NAME Last rettancourt First Cott Lic. N4 004296 Engineer's Address Engineer's E-mail Address 26170 Enterprise Way Suite 400 City Lake Forest State CA Zip 92630 Telephone 949-215-3339 CONTRACTOR'S NAME/COMPANY King Recon (Jason King) Lic. No. 994042 Class IB Contractor's Address Contractors E-mail Address 34401 Via San Juan #B ason@kingrecon.com City apistrano Beach State CA Zip 92624 Telephone 49-370-0303 SETBACKS REAR SETBACKS FRONT PERMIT NO. — ' 7UD SETBACKS LEFT SETBACKS RIGHT PLAN CHECK No. USE ZONE DEVELOPMENT NO `J� ��y> PLAN CHECK FEES $