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HomeMy WebLinkAboutX2019-0406 - Permit ApplicationPrint FormWorksheet for Combo Building & Solar Permit Application 1 w" Comm'I r Residential City of Newport Beach - Building Division 701 A. o.�nG NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 5<„epNs Building r- Grading rDrainage j-Elec rMech F- Plum Cuvdcur[— CuvdRIIF— Project Address (Not mailing address) r Flood r Fire r Liq r Landslide rN/A Floor Suite No 110 NewDor� C.eocr _Dave F F---_ Description of Work Use F—ConstType F- # StoriesF— # Units (if Res)[— r1 / �/a Hi ✓i - / v o” 1 � � t/m inc, -eJ I G er ar ✓l e 1 `� t� �1°� � !/ �-6✓(!-s�d%� o�=-cam, , ,/LC M i' Valuation $ D TO Material/Labor r 0 SF (p 3 Remodel SF F— Garage/New/Add r— OWNER'S NAME Lastp _vwPGr�^y_ First �rvlvre lG Owner's Address Owner's E-mail Address IIITo"Ou,floi,, DfIve K� 5ovr�irvi �Gr7vhnrl� �,G(Ith_ City I Trvitna State E Zip Telephone g2_6/7 Li��77i0-20CC) APPLICANTS NAME Last rA 51 First I Tk 0 M A S Applicant's Address Applicant's E-mail Address 23) 2 AlcddC Dr, Svlit L tOv"@1�cSIVtIViG•L0� City LcpO ,, ft lt5 State CA ZiP I��/ > Telephone y4q 3gz-b3((, ARCHITECT/DESIGNER'S NAME Last F Vc, „n First ��,e, 5 Lic. No. ArchitecUDesigner's A//ddress Architect/Designers E-mail Address S4 MC k, e, cc JOIle- City State F—. Zip F— Telephone[ ENGINEER'S NAME Last - First F— Lic. No.[ Engineers Address Engineers E-mail Address City State F— Zip F— Telephoners CONTRACTOR'S NAME/COMPANYc VGsl�t 5iyh Solut�'o�s ��,r.._Li No. g�26-71 Class (_ L/S _ Contractors Address Contractors E-mail Address 23122 #)crlde Cly; SLJe -�awrPVQSrn rh L, gook City LGCju 0, it IIs State FC4 ZiP x%261 3 Telephone t/9 --?82. C(, SETBACKS REAR SETBACKS FRONT PERMIT NO. -'L-0 I - 0 y 0 (rc-? SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PIAN CHECK FEES $