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HomeMy WebLinkAboutX2019-2162 - Permit ApplicationPrint Form Worksheet for Combo Buk.wag & Solar Permit Applica n GPM"°° ( Comm'I iK Residential City of Newport Beach -Building Division a NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL rBuilding r— Grading (—Drainage r Elec r Mech (x-Plum cuydCut cuedFill r Project Address (Not mailing address) r Flood r Fire r— Liq r— Landslide r_N/A Floor Suite No 1 Jarden Description of Work NA'iwr�� Use R3 ConstType VB # Storiesrl #Units (if Res) New single story addition of sun room, full bathroom, Laundry Room with decks above. nellluuO Kitchen andan e o e c ......V lighting per plans. New built in BBQ at rear yard. I�Qe /�Crvt New/Add SF v Remodel SF 1 1^0 - r (,,, Garage/New/Add �, ( r (yyam�, Valuation$ Material/LaborFe1� �. ri G OWNER'SNAME Last Osterberg (0 irst Gary Owner's Address Owner's E-mail Address 1 Jarden marieo@cox.net City Newport Beach State Ca Zip 92657 Telephone 949-633-6180 APPLICANT'S NAME Last Almendarez First Oscar Applicant's Address Applicant's E-mail Address 24361 Conejo #3 Oz.almendarez@gmail.com City Laguna Hills State Ca Zip 92656 Telephone 951-990-4834 ARCHITECT/DESIGNER'S NAME Last Almendarez First Oscar Lic. No. B980490 Architect/Designer's Address Architect/Designer's E-mail Address 24361 Conejo #3 Oz.almendarez@gmail.com City Laguna Hills State Ca Zip 92656 Telephone 951-990-4834 ENGINEER'S NAME Last Ventocilla First Pose Li . N 79 2 Engineers Address 4A Engineers E-mail Address 24636 Cresta Court felichin@cox.net City Laguna Hills State Ca Zip 92653 Telephone 949-910-0942 CONTRACTOR'S NAME/COMPANY TBD ( 1 rs fo 10 Lic. No. Class 1✓ Contractor's Address ContractoUr _s E-mail Address 6 W O Wm' @ OC- ► kK.r" Ca m City StateFCT I ' t t (/� Zip 2—1 Teephone �' y 1TI-1I SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHEG NO. 4 USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ 1 I - rV W V Worksheet for (- Comm'I Residential NOTE Com -k,lding & Solar Permit Application City of Newport Beach - Building Division : PLAN CHECK FEES DUE AT TIME OF SURMITTAI. jXBuilding I- Grading [-Drainage IX Elec XMech plum cuvdcutF_ CuvdFill F__ Project Address (Not mailing address) C Flood Fire f Liq I— / or Suite No Description of Work s +leRlStType I v cb,;Al kt�ck,f,, Storiesi its (if Res),7- r r ` Valuation $ Qr1 /1,} Material/Labor p� 10000 CJ V V New/Add SF Remodel SF /'OL Garage/New/Add �— OWNER'S NAME Last i C-I' b�n� First I Owner's Address Owner's E-mail Adds /'tGr i eU NCO X, Ae'� City "Vet,)L f State �— Zip C'6J-. Telephone L/103 `GI�U APPLICANT'S NAME Last AtAel jC rv_ e- First ©S CCU Applicant's Address Applicant's E-mail Address ti36 ► Cctie,c City r�,kuvth --h i CIS state I r. Zip I / Telephone `I3� �. /DESIGNER'S NAME Last SG�nh N �g ��ov E First 7i Lic No. 81� 1 411 c Architect/Designer's Address _ _ Architect/Designer's E-mail Address City I State I Zip F— TelephoneF — ENGINEER'S NAME Last U e44_C Cj j e,, First Lic. No. - l ja Engineer's Address Engineer's E-mail Address City h �. l f..� ��S State �_ ZIP S Telephone CONTRACTOR'S NAME/COMPANY Lic. No. Class I i•'J Contractor's Address - - Contractor's E-mail Address city State F Zip F— Telephone,F_ SETBACKS REAR IEY7 ` SETBACKS FRONT I v PERMIT NO. SETBACKS LEFT SETBACKS RIGHT IV PLAN CHECK NO. Fi 1 USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ ��j C7