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HomeMy WebLinkAboutPV2022-0417 - Permit Applicationf� E'urlD) Worksheet for Combo Building & Solar Permit Application ��E"'tea r Comm'I Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 5�'0,�' [-Building r',-Grading [-;Drainage [-Elec r'.. Mech [-.Plum Cu Yd Cut Cu Yd Fill Project Address (Not mailing address) r Flood [- Fire [-I Liq [-i Landslide [-N/A Floor Suite No Z�, Me�•,su;( C43P\ I I — Description of Work Use ConstType n I iI( Pv OA-A.IZL w.4, 1.,,:c4v i/Wcf4erj roof-_ # Stories #Units (if Res), Valuation New/Add SFFT , v(C(,j Remodel SFF— Garage/New/Add $ Material/Labor OWNER'S NAME Last (T �Y Zr _ First Owner's Address 1 Owner's E-mail Address Z6 MxA Sf+i1 Or ...State City �.(pa.6 QtI MAr..... �.: Zip 9y(�� Telephone'-}�(�.-.Li�2-Liq�'�- APPLICANT'S NAME Last �j a.-bc --', First Vi Applicant's Address Applicant's E-mail Address �33 gew�,rbl St I ViA@ 6/,jl41-js'- SGIA'C.COM city (0344 MeS a _ ... State I � Zip , z,6 Telephone q D 8 -4$1-.3N33 ARCHITECT/DESIGNER'S NAME Last c,"Ma as First Lic.No.�—' Architect/Designees Address Architect/Designees E-mail Address City �— State F_ Zip F Telephoned ENGINEER'S NAME Last M6laiZ.i ! First TD Lic. No. FT, i Zs _ Engineers Address Engineer's E-mail Address S Vic, BGI Ame_ City P_Aoc�o 5p.t, MA�)4,1?4 State I V Zip Ue$$ Telephone 949-245--$/69 CONTRACTOR'S NAME/COMPANY I7 �.�� f �• /t ,44, Lic. No. i pZq'Lbi Class .(3, J Contractor's Address Contractor's E-mail Address City State F_, Zip r'. Telephoned SETBACKS REAR SETBACKS FRONT PERMIT NO. '?Y Uj,% I 0 11 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. '?G2Vjj_ "3oV2- USE ZONE DEVELOPMENT NO PLAN CHECK FEES $