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HomeMy WebLinkAboutX2020-0183 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application Saw r Comm'I r Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL rBuilding r Grading j—Drainage I / Elec rjfAech r/Plum cuvdCut F_ CuvdFill Project Address (Not mailing address) r Flood r Fire j— Liq r Landslide FN/A Floor Suite No 121 Via Waziers, Newport Beach, CA 92663 F_ �— Description of Work Use SFR Const Type V-NR Interior remodel of existing first floor kitchen, laundry, family room, and second floor master # Stories[ # Units (if Res)F1 Dam. new flooring th roughoutr nce. New sliding qIdss door systems ai courtya rd a nd master bath. Exterior facelift to include new stucco finish and new parapets at front facade. Valuation $ Material/Labor ' r `"7i 7 `- New/Add SFF— Remodel SF 877 Garage/New/Acicl 4 OWNER'S NAME Last Pendergrast First Sumter Owner's Address Owner's E-mail Address 121 Via Waziers sumterpendergrastjr@me.com City Newport Beach State CA Zip 92663 Telephone (310) 985-4424 APPLICANT'S NAME Last Rocheleau First Mitchell Applicant's Address Applicant's E-mail Address 16530 Bake Parkway mitchell@rostarchitects.com City Irvine State CA Zip 92618 Telephone (210) 771-1615 ARCHITECT/DESIGNER'S NAME Last Rocheleau First Mitchell Lic. No. C-36977 Architect/Designer's Address ArchitecUDesigner's E-mail Address Mitchell Rocheleau mitchell@rostarchitects.com City Irvine State CA Zip 92618 Telephone (210) 771-1615 ENGINEER'S NAME Last Wavering First Derek Lic. No. 56239 Engineers Address Engineer's E-mail Address 17547 Ventura Boulevard dw@kfseng.com City Encino State CA Zip 91316 Telephone (818) 875-1445 CONTRACTOR'S NAME/COMPANY Tom Moore - New West Builders Lic. No. CSLB 469416 Class Bi Contractor's Address Contractor's E-mail Address 12082 Woodbine Drive tom@newwestbuilders.com City Santa Ana State CA Zip 92705 Telephone (714) 383-2970 SETBACKS REAR /�, SETBACKS FRONT PERMIT NO. X44l.1/ • 0 J SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 01I0yrp 1V USE ZONE DEVELOPMENT NO PLAN CHECK FEES $