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HomeMy WebLinkAboutX2021-0182 - Permit ApplicationPrint Form Works`h/eet for Combo Building k4o(#�fermit Application r Comm'I R Residential / \ City of Newport Beach - Building Divis dh,�,t jf, t NnTF- PI AN ('-4Pry �cce n. Iv nr r�. A.- 7'•1sa ° � -- i ilrvlC yr JV DIVA I I AL `J I)ZBuilding Grading �_ Drainage c ech cuvdriu / �YdCut� Project Address (Not mailing address) C Flood r- Fi ,j iq 0 N/A Floor 118 Via Lido Nord Suite No Description of Work Use I �, ConstType I5 1. REMODEL/REPLACE MASTER BATH, POWDER AND BATHROOM FIXTURES, VANITY CABINETS, TUB IF A' RRA40QP_AR9A_Q54!;F);? REMQI.19A�E� (10) WINDOWS CANCELED (7), AND INSTALL (2) NEW WINDOWS SAME SIZE 3. • # Stories# Units (if R CAI!'I 11CCfl,Irn\kIVCDT„/Cl QAI CONV_IAITnI A IAIA.I v w rl nCCT.DCD DI„AA1-TnTA1 KIMA-I An 21 5 C1... 1 New/Add SF 32 Remodel SF 254 Garage/New/AddF— Valuation $ _ Material/Labor 3vi - �oD OWNER'S NAME Last insor First is - wner's Address - Owner's E-mail Address 118 Via Lido Nord City Newport Beach -- ---- State CA Zi 2663 -- - P TelephoneF� APPLICANT'S NAME Last Rolando First errano Applicant's Address Applicant's E-mail Address 1041 W. 18th St. STE A-208 -- - --- -- -- - erranoarchll@gmail.com City osta Mesa State CA Zip 92627 Tele hone 23-508-6127 ARCHITECT/DESIGNER'S NAME Last Rolando First Serrano Lic. NoT_----- Architect/Designer's Address Architect/Designer's E-mail Address SAME AS APPLICANTS �erranoarchll@gmail.com @gmail.com City State CA - Zip 92627 Telephone 323-508-6127 ENGINEER'S NAME Last First Lic No.r� Engineer's Address Engineer's E-mail Address City State F Zip F— Telephoned -_— CONTRACTOR'S NAME/COMPANY RW Lewis Builders Lic. No.� S�jl Class_- %��s ContractorAddress Contractors E-mail Address 1863 Bayport Way City Newport Beach - --- - 6 State CA Zip 2660 Telephone 714-321-0126 SETBACKS REAR( SETBACKS FRONT S' C� PERMIT NO. SETBACKS LEFT �j SETBACKS RIGHT 3 PLANCHECKNV 0, USE ZONE - DEVELOPMENT NO PLAN CHECK FEES $