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HomeMy WebLinkAboutXR2023-2864 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application r r o4.E��Re Comml Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL rBuilding r Grading rDrainage r— Elec r Mech r Plum cuvdCut F__ CuYdFill F— Project Address (Not mailing address) r- Flood r Fire r Liq r Landslide f N/A Floor Suite No 1014 Polaris Drive, Newport Beach, CA 92660 1 1 Description of Work Use F_ Const Type F # Stories # Units (if Res)F_ 4'-8" wide access gate. D Valuation $ 3,000 New/Add SFF— � Remodel SFF—Garage/New/Add lO — Material/Labor OWNER'S NAME Last Fraser First Tien and Grant Owner's Address Owner's E-mail Address 1014 Polaris Drive City Newport Beach State CA Zip 92660 Telephone APPLICANT'S NAME Last Garcia First Ron Applicant's Address Applicant's E-mail Address 155 Rochester street rgarcia@vulkanarchitects.com city Costa Mesa State CA Zip 92627 Telephone 626-224-3300 ARCHITECT/DESIGNER'S NAME Last Metodiev First Trifon Lic. No. C-37844 Architect/Designer's Address Architect/Designer's E-mail Address 155 Rochester street it tron@vulkanarchitects.com city Costa Mesa State CA Zip 92627 Telephone 949-293-2176 ENGINEER'S NAME Last � First F_ Lic. No.F— Engineer's Address Engineer's E-mail Address City State [—zip F_ Telephoner CONTRACTOR'S NAME/COMPANY TBD Lic. No. [-- Classr— Contractor's Address Contractor's E-mail Address City I State F_ Zip ^_ Telephoner — SETBACKS REAR SETBACKS FRONT PERMIT NO. X V--Pv"/' SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 9 8'M7/07 • %t-I �j� USE ZONE DEVELOPMENT NO PLAN CHECK FEES $