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HomeMy WebLinkAboutX2015-0717 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application (1091 City of Newport Beach - Building Division .<comm I �'Res"idential NOTE:' PLAN CHECK FEES DUE AT TIME OF SUBMITTAL I i i Building F-i Grading Drainage �Elec P*ech ;Plum cu vd cut �i cu Yd Fill Project Address (Not availing address) [7 Flood C Fire [-, Liq. (° Landslide F_,N/A Floor Suite No Description of Work {� 5 Use ConstType [� �ey�eaVovk�e•1' ac 2xtS� w✓a iavt{nQ1• iao� �ACA J— #Stories #Units(ifRes)n 'l�— valuation-$ New/Add SF Remodel SF E}°j Garage/New/Add f -i Material/Labor 'f OWNER'S NAME Last First ��a Grn�(/J��_ Owner's Address Owner's E-mail Address �'- 3l0o Ifwc� AE. ���._._ r�ov .rev, �. G��w�eapcl�.�.cG ow State Ir—C—�.� Zip (y� Telephone MAC %G_5 N3) City (J r� �eac�_ _ L—_mil p_� � �� APPLICANT'S NAME Last J First Applicant's Address Applicant's E-mail Address City PV \ �A• State' Zip lf2(p( Telephonef ARCHITECT/DESIGNER'S NAME Last 15yo,V _ ,First JnCp�(,( J Lic.No. -, ArchitectlDesigner's Address Architect/Designees E-mail Address j City 6JVv�Si I State I�� Zipc261A� J Telephoned_ jS7.3f? ENGINEER'S NAME Last (yr'tv�r\ __.I First Kyy Lic. Nof Engineer's Address Engine@.es E-mail Address ln_112I sa�.riW �, 9t��r.efiv��u� rawt City `� . \ll —_ _,J State Zip �Z(c 1 �' Telephone q<'� � p &. 00 `Aa�y /> _�— y CONTRACTOR'S NAME/COMPANY ` 1F6� �� Lic. No. Class Contractor's Address Contractor's E-mail Address City State Zip Telephoner SETBACKS REAR SETBACKS FRONT PERMIT NO. XZp{ S P'Il SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. p5S7b •Zs-:l a7 . USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ I^ 1