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HomeMy WebLinkAboutX2021-1114 - Permit ApplicationX201-1114 Print For '; Worksheet for Combo Building & Solar Permit Application 00, I— Comm'I [7 Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Building (— GradingDrainage Elec j Mech rjP(um cuvdcutF cuvdriu I Project Address (Not mailing address) F_ Flood F_ Fire [_ Liq F_ Landslide FN/A Floor Suite No q Seablu�F Newpot'-1- a(>aeh, clot Gzc.o(.o0 , Description of Work Use [_ Const Type F_ c1d;garal )tiarGl5Cap2 ReModel — M #Stories[— #Units(tfRes)F— �pnl.��Jcr-ed pai-i'��oo�-' �SoM<l� Valuation $ Material/Labor New/Add SFF — Remodel S`FF — Garage/New/AddF— OWNER'S NAME Last 4 (i11 �(S 1 G(r� i� li$ First Ff e .er Owner's Address Owner's E-mail Address 01 56bliA f Peyer@+hepne9Yovp•C6m City I NeWpo`(-}- BeGiC.Vi State _ CA- Zip R2(a(p0 Telephone Gy.q.gaa.�49 APPLICANT'S NAME Last V0,14Skati-�(S '., First Applicant's Address Applicant's E-mail Address C1 SmbluFF Peter@ H,rpnegw�(�.carn City I tAewp0*-jP(a%.(i '.. State CPS Zip q2—( (,p Telephonegtiq.c(aaJr{j} ARCHITECT/DESIGNER'S NAME LastU 0� f.1c�a First p�{--_r' Lic.No: G 13U Architect/Designer's Address Architect/Designer's E-mail Address lcoy_ tv Z"d Net Ste loo Pei-?- ctrOi1' -La nol, corn City Vplan& State CA Zip Fq1�Bio Telephone goq..-M.115V ENGINEER'S NAME Last l,,.qo ler- FirstRp Lic. No. (o-(pC4p Engineer's Address Engineer's E-mail Address 120 I N . ?US-Hrn City �ah.e 1 ySrt State CA Zipq;l ) ' Telephone' -1 t1 ,� 3o, to V� CONTRACTOR'S NAME/COMPANY Q -rt c Va laska✓1?'115— 6wVl6'�Vlld rt' Lic. No. F—ClassF— V Contractor's Address Contractor's E-mail Address 01 Sec( bi uF� PY)c qroup court City I NlevipoA BeQc'i State Zip Cj2Cv( ,0 Telephone a Liq,0jaa•-��r��- SETBACKS REAR - SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK N0. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $