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HomeMy WebLinkAboutX2018-3852 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application o e Comm'I r -_' Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Building F, Grading rDrainage ec / e �um cuvdcucF cuvdFu I Project Address (Not mailing address) f Flood F_ Fire j— Liq F Landslide F N/A Floor Suite No 637 Teller Ave 40 0 — Description of Work Use ConstTYP e emolition of Interior non bearing partition walls # Sto ies # Units (if Res Valuation $ 0. Material/Labor ' t 1 New/Add SFF Remodel SF ��� Garage/New/Add �_ OWNER'S NAME Last ozayem First L Owner's Address Owner's E-mail Address 50 NewportCenter Drive I@abcorealty.net City I@abcorealty.net Stater Zip 2660 Telephone 49-500 4868 APPLICANT'S NAME Last kx, First im Applicant's Address Applicant's E-mail Address 001 Capri Lane atum@pacbell.net City osta Mesa State I- Zip 2626 Telephone 49/581-2255 ARCHITECT/DESIGNER'S NAME Last ux First im Lic. No. -19769 Architect/Designees Address Architect/Designees E-mail Address 001 Capri Lane atum@pacbell.net City ksta Mesa State CA — Zip F2626 Telephone 49/581-2255 ENGINEER'S NAME Last First Lic No.F Engineer's Address Engineer's E-mail Address City State �— Zip Telephone F CONTRACTOR'S NAME/COMPANY IDACIFIC ORCA CORPORATION Lic. No. 44807 ClassF Contractor's Address Contractor's E mail Address 7 BROOKLINE HIL@PACIFICORCA.COM City LISO VIEJO State r"' Zip 2656 Telephone 146471791 SETBACKS RE - SETBACKS FRONT PERMIT NO. x z,0 b5z_ SETBACKS FT SETBACKS RIGHT PLAN CHECK NO. 2qZ r2© USE ZON DEVELOPMENT NO PLAN CHECK FEES $