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HomeMy WebLinkAboutX2021-3430 - Permit Application• print Form Wk heet for Combo Building & Solar Permit AApplication . Qsw-w,Comm'I F_ Residentil City of Newport Beach -Building Divisiony %�)2NOTE: PLAN CHECK FEES DUE AT TIME OF SUBM RfII�I��JR[[[��_ i Building [Grading Drainage [Elec rMech r Plum Cu dCut Yi 1 Project Address (Not mailing address) Flood ire Li ` andslide /A Floor Suite No Description of Work Use Const Type �i X1.5 &A1112Fr�17 b'�'L , Iti rTLN'�N i2 �o(a C�., nt-r✓I (u �rL b # StoriesF_ # Units (if Res)F Valuation $ New/Add SF� Remodel SF 5v Garage/New/Add Material/Cabo *j G� OWNER'S NAME Last l3Z hC rn ! First s nm 1 Nu Owner's Address Owner's E-mail Address ---- 11 V_ISTY} 1 U GI _._._ Suv An MAI Kavin1 P vF(nd0 • t0Vvi City 1i t lz- State Cyd Zip qZIQS� Telephone�11N) 1111.3Ifp(p APPLICANT'S NAME Last First ClfiaN 5 Applicant's Address Applicant's E-mail Address 1�i� cP 1 WSJ iLl W N of S -__ C R IqN U- 6) 13-L CO N S`1YLU CT) 0 N. 0 S - _ City M I S5 { 6'N V I E� State Cy} Zip Telephone DIy JAZ �glp 1p ARCHITECT/DESIGNER'S NAME Last b1 OVl O First hICNN IpTI-i Lic. No. C1 Architect/Designees Address Architect/Designer's E-mail Address IQ_1_ A,'? p '�_ 41z i4 - � ...1�# tJ_ F 1111.1.. TN 1S i20 W _ WW p (4_0...1lU t 1-61 • C 0_f _---- — — State (W ZiP GZG�.. q- Telephone014 ) rt%{_- SIO(o City 1-9,06V (,O_--C_Oh� YQ7V. 1111 ENGINEER'S NAME Last $VZ C)Vv N First -�VN_N j6Tq Lic. No. Cl � I10 Engineer's Address Engineer's E-mail Address City tate F ,Zip �— TelephoneF CONTRACTOR / Y fj2 LONVC�IOIJ� INL Lic. No. Fw%.1.1 Class Contractor's Address Contractor's E-mail Address L Qi _ 14YJR �✓� _Si-• COYiN��1�lc©NSIYL�GdICN.us - City I WV 1610 State Zip oll(Qpl1__ Telephone CgNt71� lt{i ' �j�lp�p SETBACKS HEAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK N0, 3Q&l USE ZONE DEVELOPMENT NO PLAN CHECK FEES $