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HomeMy WebLinkAboutX2021-3068 - Permit ApplicationPrint Form Wo ksh t for Combo Building &Solar Permit Application '°arm F' comm'I r, Residential City of Newport Beach - Building Division o .p s NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL ��-.o.••' FRIBuilding F_iGrading s nage Elec KMech Plum cuvdc�eF CuVdFillF Project Address (Not nrailin s � Flood r Fire F' Liq F_. Landslide �N/A Floor Suite No 1720 Skylark Lane Ne ort Beach, Ca. \6, 57 �_. G Description of Work (} J to Use R_3 Const Type V-B -- _ -" -- MAJOR REMODEL/ADDITION. C LETED 1 FL. REMO DDITION. ENLARGE EXISTING 2 CAR # Stories' # Units (if Res)' BALCONY. UPGRADE ELECT. NEW AR PV W/BATTERY BACKUP. NEW FIRE SPRINKLERS© Valuation 5 ( New/Add SF, 1 'i ( Garage/New/Ad 4 aterial/Labor��. OWNER'S NAME Last Betzler I First Brett Owner's Address Owner's E-mail Address 1720 Skylark Lane 1 bbetz365@gmail.com City Newport Beach State Ca. Zip 92657 Telephone 949-981 1196 APPLICANT'S NAME Last Coombs First Brett Applicant's Address Applicant's E-mail Address 17341 Grovemont St. brett.coombs@sbcglobal.net city Santa Ana - State Ca. Zip 92705 Telephone 714-267-6826 ARCHITECT/DESIGNER'S NAME Last Coombs First Randall Lic. No. C19785 Architect/Designer's Address Architect/Designer's E-mail Address 17341 Grovemont St. brett.coombs@sbcglobal.net city Santa Ana State Ca Zip 92705 Telephone 714-744-1972 ENGINEER'S NAME Last Forbes First Dale - Lic. No. C30407 - Engineer's Address Engineer's E-mail Address 1800 E. 16th St. Unit B. dale@esifine.com city Santa Ana State Ca Zip 92701 Telephone 714-835-2800 CONTRACTOR'S NAME/COMPANY _ Lic No. Class PCaN ��c 101- 6aoc Contractor's Address Contractors E-mail Address 3-�19 V,(Wero oZ 33 com fiea /. A 4 t (,cow, City I Ale State F4-- Zip Telephone SETBACKS REAR SETBACKS FRONT PERMIT NO. , qr SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $