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HomeMy WebLinkAboutM2020-0034 - Permit Applicationrint Form �� CpZ� P Worksheet for Combo Building & Solar Permit Application n r Comm'I (X Residential City of Newport Beach - Building Division NnTF PI AN CHFr`v ococ r Building r Grading ----'—'__^ -� •����+IMIl yr OUDIVIII IAL \•y--'.J r Drainage r Elec r Mech r Plum Cu Yd Cut F Cu Yd Fill Project Address (Not mailing address) Flood F_ Fire �Liq r Landslide X_N/A Floor Suite No 619 36th Street Description of Work Use rR Const Type V-N # Storiesr3 # Units (if Res)F To reinforce the existing seawall by utilizing dywidag tie -backs connecting the existing seawall tet � namr r-r r I I 0 Valuation $ F15O,000 Material/Labor New/Add SF FO— Remodel SFFo — Garage/New/Add f0 OWNER'S NAME Last Theders First Jeff Owner's Address Owner's E-mail Address 11216 Reservoir —� City Santa Ana State CA Zip 92705 Telephone 949-922-1833 APPLICANT'S NAME Last Ro el -- 9 First Victor Applicant's Address 1401 Quail St, Suite120 Applicant's E-mail Address ccklit f ly -I b5 2>yIA tp victor@cjlight.net City Newport Beach State CA Zip 92660 Telephone 949-851-8345 ARCHITECT/DESIGNER'S NAME Last N/A First �— Lic. Architect/Designer's Address ---- No. F— Architect/Designer's E-mail Address City State �Zip �— Telephoned ENGINEER'S NAME Last Petrov First Flamen Lic. No. 66947 Engineer's Address 28161 CasitasCt. Engineer's E-mail Address Ciry Laguna Niguel p.petrov@pma-bg.com ` State CA Zip 92677 Telephone 714-717-7542 CONTRACTOR'S NAME/COMPANY TBD k ,hic. No. Class ✓ Contractor's Address Contractor's E-mail Address a -) City State I ( Zip lephoneF9 ( ( SETBACKS REAR SETBACKS SETBACKS FRONT PERMIT NO. ., LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $