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HomeMy WebLinkAboutXR2023-1126 - Permit ApplicationIzrint Form j Worksheet for Combo Building & Solar Permit Application Comm'I r Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL FX-Building F_ Grading rDrainage r Elec F_ Mech j- Plum CuvdCut[ CuvdRI Project Address (Not mailing address) F_ Flood r Fire F- Liq r Landslide F_N/A Floor Suite No 2000 W Ocean front W Description of Work Use SFR Const Type F # StoriesF3 # Units (if Res)F Dow Valuation$ New/Add SFF_ Remodel SFF—Garage/New/Add F— Material/Labor [$1,000 OWNER'S NAME Last I Liu First Poseph and Susan Owner's Address Owner's E-mail Address 1085 Summit Dr City Beverly hills State CA Zip 90210 Telephone (310)801-0871 APPLICANT'S NAME Last Guidero First William Applicant's Address Applicant's E-mail Address 425 30th Street suite #23 guiderodesign@gmail.com City Newport Beach State CA Zip 92663 Telephone (949)675-2626 ARCHITECT/DESIGNER'S NAME Last First William Lic. No. �— Architect/Designer's Address Architect/Designer's E-mail Address 425 30th Street suite #23 guiderodesign@gmail.com City Newport Beach State CA Zip 92663 Telephone (949)675-2626 ENGINEER'S NAME Last Hakim First Fady Lic. No. C-75736 Engineer's Address Engineer's E-mail Address 419 Goddard suite #200 INFO@FMHengineering.com City Irvine State CA Zip 92618 Telephone (949)245-8000 CONTRACTOR'S NAME/COMPANY Lic. No. F Class Contractor's Address Contractor's E-mail Address City State F Zip F TelephoneF SETBACKS REAR SETBACKS FRONT PERMIT NO. x R.'Lo'L$- IL Z(P SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. I l4JA- 'IM USE ZONE DEVELOPMENT NO PLAN CHECK FEES $