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HomeMy WebLinkAboutXR2022-1896 - Permit ApplicationL Print Form Worksheet for Combo Building $ Solar Permit Application r Comm'I f_X Residential City of Newport Beach - Building Division' NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL rXBuilding F_ Grading rDrainage jX Elec rX Mech iX Plum cuYd Cut Cu Yd Fill Project Address (Not mailing address) I— Flood (— Fire r Liq r Landslide rN/A Floor Suite No 1954 Port Locksleigh F I Description of Work Use R-3/a ConstT e vP d8 # StoriesFT k Units (if Res)I Remodel of exist. 2-story residence. Add S.F. at Office, Entry, Living, & Dining. Exist. habitable closet changed to garage. Exist. bedirm & n Primary bedroom & bath, new windows thru-out, new skylights, new roofing material, & new Valuation $ New/Add SF -80 sf Remodel SF 1625 sf Garage/New/Add 63 sf Material/Labor F25ol OWNER'S NAME Last Gerstein First Michael Owner's Address Owner's E-mail Address 1954 Port Locksleigh City Newport Beach State CA Zip 92660 Telephone 949-975- 1123 APPLICANT'SNAME Last Teale First Mark Applicant's Address Applicant's E-mail Address 2900 Bristol St. Bldg. A, Suite 203 mteale@tealearchitecture.com City Costa Mesa State CA Zip 92626 Telephone 949-975-0123 ARCHITECT/DESIGNER'S NAME Last Teale First Mark Lic. No. C-22162 ArchitectlDesigner's Address Architect/Designer's E-mail Address see above City � State F! Zip F— TelephoneF— ENGINEER'S NAME Last Yaghi T First Shucri Lic. No. C-43205 Engineer's Address Engineer's E-mail Address 112 E. Chapman Ave, Suite D yaghi-engineers@Live.com City Orange State CA Zip 92666 Telephone 714-997-9120 CONTRACTOR'S NAME/COMPANY Lic. No. 1033o%/ Class ��o�f Creed \3u�\der5 Contractor's Address Contractor's E-mail Address a 13c) i'���hde�: ,� C-,r 5erer•,�k& s\ar,[cee bu;taer.c'or, City I l �Ln I �e(f State CA Zip �a3V q Telephone aq�-&S.L 1 SETBACKS REAR SETBACKS FRONT PERMIT NO. Y G Lk SETBACKS LEFT SETBACKS RIGHT j jy (�') - PLAN CHECK NO. USE ZONE DEVELOPMENT NO �'�/ PLAN CHECK FEES $