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HomeMy WebLinkAboutXR2022-2086 - Permit ApplicationPrint Form_ I Worksheet for Combo Building & Solar Permit Application F_ Comm'I Fx Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL FxBuilding F_Grading rDrainage rElec F—Mech FPlum CuYdCut F CuYdFil[F Project Address (Not mailing address) F_ Flood F_ Fire r— Liq F— Landslide FN/A Floor Suite No 1601 Lido Park Dr., Unit 6C lv 1` Description of Work Use R2 ConstType II-B # Stories 1 o # Units (if Resf 55 Interior Renovation Valuation$ F ,000 Material/Labor New/Add SF Remodel SF 1,985 Garage/New/Add \ OWNER'S NAME Last First Virginia Owner's Address Owner's E-mail Address 601 Lido Park Dr., Unit 6C City Newport Beach State CA Zip 92663 Telephone—_ APPLICANT'S NAME Last Seo First Hyung Jin Applicant's Address Applicant's E-mail Address 11303 W. Valencia Dr., #214 hseo@haceinc.com City Fullerton State CA Zip 92833 Telephone 949.892.9732 ARCHITECT/DESIGNER'S NAME Last Seo First Hyung Jin Lic. No. 331053 Architect/Designer's Address Architect/Designer's E-mail Address 1303 W. Valencia Dr., #214 hseo@haceinc.com City Fullerton State CA Zip 92833 Telephone 949.892.9732 ENGINEER'S NAME Last First Lic. No.1 Engineers Address Engineer's E-mail Address City F State F_ Zip F Telephoned CONTRACTOR'S NAME/COMPANY _At (4 Lic No. 163q' Classy Contractor's Address Contractor's E-mail Address r(S 5— &4/o /< ��(� 4�i/�acCl/c 2B �' (/er,z�c . ve-f— City n v r / e 44,t State I Zip � Z S6Z Telephone f') z 57 -_7yyzpp SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. C — 16t?,'1 USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ 4