HomeMy WebLinkAboutX2018-2716 - Permit Application`�5o - 2n1&)
Print Form i Wo *shfor Combo Building &Solar Permit Application OW
r` Comm'I r Residential n'City of Newport Beach - Building Division
r v NOTE. PLAN CHIsCK FEES DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing address) r— Flood ire klq r Landslide I —N/A Floor Suite No
2157 Miramar I n V4?—
Description of Work
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# Stories # Units (if Ress
Valuation $ F70100
Material/Labori
New/Add SF Remodel SF t Gara a/New/Add
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OWNER'S NAME Last 29,1 AJC� First Ir'LA.( aq mama
Owner's Address Owner's E-mail AdLress � 1 '�
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City NLII, J I (1 State r l� Zip fq6 Telephone
APPLICANT'S NAME Last Fortier First Curtis
Applicant's Address Applicant's E-mail Address
3505 W. Pico Blvd. curtis.fortier@gmail.com
City Los Angeles State CA Zip 90019 Telephone 310.968.1649
/DESIGNER'S NAME Last Courts First Christopher Lic. No.
Architect/Designer's Address Architect/Designees E-mail Address
3505 W. Pico Blvd. chris@legaspicourts.com
City Los Angeles State CA Zip 90019 Telephone 323.641.0250(tom
ENGINEER'S NAME Last �QI First 17�ufdVltf Lic.No.39��f
Engineer's Address Engineer's E-mail Address
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City I aotk State %rli Zip ��a�7 Telephone joa� 0
CONTRACTOR'S NAME/COMPANY ' s (JAA4 UC ^0.1,q t l� yuZ Lic. No. + 01 I2S I Class
Contractor's Address Contractor's E-mail Address
I�r COt13T(t1Cf1z?K 41�-.CCow?
City - State �— Zip - Telephone 1 O �t 615
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO,1UfJ
USE ZONE DEVELOPMENT NO ' ~ PLAN CHECK FEES $
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