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HomeMy WebLinkAboutX2020-2860 - Permit ApplicationPrint Form j Worksheet for Combo Building & Solar Per t Al 'catioln o��EW�Rr r Comm'I I— Residential City of Newport Beach - Building Division�� NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL F_ Building j— Grading [—Drainage r Elec j— Mech r Plum Cu Yd Cut Cu Yd Fill Project Address (Not mailing address) f— Flood f— Fire F Liq F— Landslide f N/A Floor Suite No co v,F s I� I� Description of Work Use ,�� Const Type y �N��C E `(V INTO r �� TO # Stories ' # Units (if Res) 15T Fmdl'P- � I vA-t;I-E A Valuation $ 9� Material/Labor New/Add SF 50 , Remodel SF Garage/New/Add �— OWNER'S NAME Last First Owner's Address Owner's E-mail Address City State Zip Telephone APPLICANT'S NAME Last First Applicant's Address Applicant's E-mail Address City State Zip Telephoned-� ARCHITECT/DESIGNER'S NAME Last o�� First '� � Lic. No. Architect/Designer's Address Arch itect/Designer's E-mail Address City N, � State Zip �� Telephone (�/ Zc^0- /, ENGINEER'S NAME Last First Lic. No.F� Engineer's Address Engineer's E-mail Address City I -- State I.. _ Zip I Telephone CONTRACTOR'S NAME/COMPANY 0 //i f $ekC"b Lic. No. Class Cj7V Contractor's Address Contractor's E-mail Address City a State v Zip Telephone l0 6 SETBACKS REAR SETBACKS FRONT PERMIT NO. �• SETBACKS LEFT SETBACKS RIGHT PLAN CHECK N USE ZONE DEVELOPMENT NO PLAN CHECK FEE E S $