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HomeMy WebLinkAboutX2021-2950 - Permit ApplicationPrint Farm j Worksheet for Combo Building & Solar Permit Application o" '°"'m Comm 'I r Residential City of Newport Beach - Building Division a I L% NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTA, YJBuilding F7Grading F-Drainage I-Elec F_Mech ((Project hPlum CuYdCut CuvdFill Address (Not mailing address) r Flood j- Fire F- Liq F- Landslide FN/A Floor Suite No I F_ Description of Work Use F—ConstType #Stories # Units (if Res)[_ New/Add SF� Remodel SF Garage/New/Add �— Valuation $ 9. Material/Labor OWNER'S NAME Last /� �� L Qy First Owner's Address Owner's E-mail Address c� 7 3 e,Jv. c e —�M vJ awn cc) City N PnW&1 State f c\ Zip F TelephoneRy�Z APPLICANT'S NAME Last Y (� First ( . Q,a Applicant's Address Applicant's E-mail Address \ 1A co<r(I-V -.I �o'M City State Zip _ �? Z(�5; Telephone C 4'6' 1)j I ARCHITECT/DESIGNER'S NAME Last Lic. Na. First F_ Architect/Designer's Address Architect/Designer's E-mail Address City State F_ Zip F— Telephone�— ENGINEER'S NAME Last First Lic. No.F— Engineer's Address Engineer's E-mail Address City State I Zip F Telephoned CONTRACTOR'S NAME/COMPANYUL -,i�L,- , Lic. No. Class t i�t, 1_ '(,�lU'nl �'OS $�Z Contractor's Address Contractor's E-mail Address nn nn City U rP- E State F_C11F_ Zip c(Z&4 Telephone 6ut)s) -11,/L SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $