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HomeMy WebLinkAboutX2018-1153 - Permit Applicationvoli 41611 Worksheet for Combo Building & Solar Permit Application City of Newport Beach - Building Division Comm'I Residential NnTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Building Grading ;Drainage Elec r ­ Mech ( Plum Cu Yd Cut Cu Yd Fill Project Address (Not mailing address) Flood? Fire F_ Liq �� Landslide ! N/A Floor Suite No i�_® Description of Work - Use Const Type -�- l � #Stories; #Units (if Res),; — valuation $ New/Add SF, Remodel SF' Garage/New/Add Material/Laborl OWNER'S NAME Last ilFirst Owner's Address Owner's E-mail Address '46V m ' State ' Zip ;j Telephone; City , �4" I '� APPLICANT'S NAME Last; Y First Applicant's Address Applicant's E-mail Address i City State Zip ; Telephone, ARCHITECT/DESIGNER'S NAME LastFirst Lic. No. Architect/Designees Address Architect/Designer's E-mail Address i i City State i Zip Telephone ®_ o� Lic. No.r— ��.._``� ENGINEER'S NAME Last ; First Engineer's Address _ c Engineer's E-mail Address City State Zip Telephone CONTRACTOR'S NAME/COMPANY Lic No. Classy Contractor's Address Contractor's E-mail Address City State Zip Telephone SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. J USE ZONE DEVELOPMENT NO HLAN UHtzur\ FEES