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HomeMy WebLinkAboutX2019-3437 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application F- Comm'I rX_ Residential City of Newport Beach - Building Division a a NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL °�•"" rBuilding F_Grading rDrainage rElec j—Mech rPlum CuvdCut r CuYdFill r Project Address (Not mailing address) r Flood 're q r Landslide F_N/A Floor Suite No 92660 5 SEA ISLAND DRIVE NEWPORT BEACH, CA Description of Work Use R3/U ConstType VB # Storiesr # Units (if Resr INTERIOR REMODEL. EXT WINDOWS AND DOORS OF THE RESIDENCE WILL BE RENOVATED AT DOOR WILL BE RELOCATED .NO ADDITIONAL SQUARE FOOTAGE PROPOSED. Valuation $ New/Add SFr— Remodel SF 1,579 Garage/New/Add �— F276,325 Material/Labor OWNER'S NAME Last ROYSTER First FTRACIE Owner's Address Owner's E-mail Address 5 SEA ISLAND DRIVE City [NEWPORT BEACH State CA Zip 92660 Telephoner—' _ — APPLICANT'S NAME Last d'ARCY First CHARLES Applicant's Address Applicant's E-mail Address 18 TECHNOLOGY STE 158 Charles@dArcyArchitecture.com City IRVINE State CA Zip 92618 Telephone 949.407.7760 ARCHITECT/DESIGNER'S NAME Last d'ARCY First CHARLES Lic. No. C-32314 ArchitectlDesigner's Address Architect/Designer's E-mail Address 18 TECEHNOLOGY STE 158 Charles@dArcyArchitecture.com City IRVINE State CA Zip 92618 Telephone 949.407.7760 ENGINEER'S NAME Last HAKIM First FADY Lic. No. C-75736 Engineer's Address Engineer's E-mail Address 410 GODDARD, SUITE 200 fadyhakim@fmhengineering.com City IRVINE State CA Zip 92618 Telephone 949.245.8000 CONTRACTOR'S NAMEICOMPANY � _ � Lic No. (l o__T1V,(, Class Fe Contractor's Address Contractor's E-mail Address �i�Ico,CC¢ City Z \K State Imo' Zip 141ZL� Telephone SETBACKS FRONT PERMIT NO. SETBACKS REAR SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 67 7 dO USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ W