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HomeMy WebLinkAboutX2020-0536 - Permit ApplicationX ?4-Z,v - 09;(Q Worksheet for Combo Building & Solar Permit Application L7 Comm'I residential City of Newport Beach - Building Division U c'op`'= NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL ❑Building E] Grading ❑Drainage ❑Elec ❑Meth F] Plum CuvdCut F7 Cu YdFill F7 Project Address (Not mailing address) ❑ Flood ❑ Fire ❑ Li ❑ Landslide ❑N/A Floor Suite No 44te k-we—NW 6?- CA," rbN fZ� �K� .. �77 D Description of Work ) ��) I -�yp Use � Const T e 771 -or- mi 8"eMu ��P #Stories #Units (if Res)CI ESC► �inl 6 / ' -�'/ Gva u w� C� 1 s7f C2Q , �T Valuation $ Q New/AddSFF 7_7 Remodel SF�l Garage/New/Add�� Material/Labor OWNER'S NAME Last Owner's Address -441P ieZN l N i6 CA N Y01.! r�i City Co29 +j & inti M A(L. State APPLICANT'S NAME Last Applicant's Address 33'7 2-2- city ZCity �(�.N Rs q -b 7 t T -j' State N I e e -- Owner's E-mail Address Zip I q? -(.z 7M� ..iWA9Wz? z Applicant's E-mail Address �33 1 V,0 rt de -sl (It,� Zip e- a2. Telephone "I - 4 12-'7 a NAME Last LV< First C-� Lic. No. AfchiteeHDesigner's Address ox 9© 6 y City �a� A,1_U �k State Architect/Designer's E-mail Address Zip Telephone</> 27_T % i ® Lic. No � PJ03 11 ENGINEER'S NAME Last / First Engineer's Address Z-733< I//V-b �zu- L� City n/�%/G�.i/� �/t- State J Engineer's E-mail Address Zip 9 � Telephone7f�30 3 CONTRACTOR'S NAME/COMPANY A11A16 Lic. No. Class C �f Contractor's Address 2Z2 / Cil coli VVAY City 3;6A176 ASA- ._ J State SETBACKS REAR SETBACKS FRONT SETBACKS LEFT SETBACKS RIGHT USE ZONE DEVELOPMENT NO Contractors E-mail Address Zip 927d3J'I Telephone PERMIT NO. (f0_2-0-- UJ PLAN CHECK NO. a PLAN CHECK FEES $