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HomeMy WebLinkAboutX2018-0580 - Permit ApplicationWorksheet for Combo Building & S,olar Permit Application ° City of Newport Beach - Building Division F' comm"Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL -Pow^ F -Building F- Grading F. -Drainage lec F-Mech Plum cu vdcut�i Cu Yd Fill Project Address (Not mailing address) ,F- Flood 'F- Fire F`; Liq F Landslide F.N/A Floor Suite No Description of Work Use F Const Type # Stories # Units (if Res)( r kz- Valuation$ Material/Labor %1,6 OOC -_ New/Add SF��I Remodel SF Garage/New/Add OWNER'S NAME LastU First' 6W-ner's"Address 'Owner's E-mail Address 3PU isle r ma rs -1 c� l cwi " ,City ,. �' State I liPl Zip 61 , Telephone APPL"ICANT'SNAME" Last First Applicant's Address Applicant's E-mail Address City �- State Zip TelephondF -- ARCHITECT/DESIGNER'S`NAME ` Last First Lic. NO. ;. .ArehitecUDesigner's Address Architect/Designer's E-mail Address City_ State �— Zip' rj Telephone ENGINEER'S NAME Last First— Lic! No.— Engineer's Address Engineer's E-mail Address City �— ` State " �- Zip �— Telephoner {ONTRACTOR'S NAME/COMPANY dM L Lic. No.l j Class Contractor's Address Contractor's E-mail Address City Z (j� ��S state '-A Zip �3 Telephon SETBACKS REAR SETBACKS FRONT PERMIT NO. - ®'S SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE-' DEVELOPMENT NO PLAN CHECK FEES $