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HomeMy WebLinkAboutXC2022-1949 - Permit ApplicationPrint Form , ) Worksheet for Combo Building & Solar Permit Application Cityof Newport Beach - Building r Comm'I � Residential p 9 Division NOTE: PLAN CHECK FEES DUE AT TIME OF St IRMITTAI wilding r Grading rDrainage �€Iec i—Mech Plum Cu YdC tF_ Cu Yd Fill l Project Address (Notmailing address) Flood f— Fire Liq r Landslide i—N/A Floor Suite No 'rf, Description of Work ZZ'� Use ConstType , #Stories ZUVts (if Res) New/Add SF�— Remodel SIF 2 � Garage/New/Add F-- Valuation $ Material/Labor ' r OWNER'S NAME �Cr Last ©(PLC First <31 �r�A,�,,,.. C'vyYvY�' Owner's Address Owner's E-mail Address 0 fl, b City �- State Zip Telephone --_ l / - - -. APPLICANT'S NAME Last 1vr ��c,p-jra�N First Y I Applicant's Address Applicant's E-mail Address City C��/�lrQ_ , , r State Zip CtfZ,(,rj-0 Telephone ,t '��7� G 13 G ARCHITECT/DESIGNER'S NAME Last h��M@'� First Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address 2ell - City I L04y0pWA_ 73 ,rA State Zip Nli Telephone ENGINEER'S NAME Last First Lic. No. Engineer's Address Engineer's E-mail Address City State Zip �— Telephone G q, . CONTRACTOR'SNAME/COMPANY rr% Lic No. F/L��'"/ Class? cY Contractor's Address Contractor's E-mail Address /31 �(iLe_-Foy `51 t/a City 11��V A\\VN (j �State �— ZIP qZ� Telephone[I T-1,'Z%(�n I `J SETBACKS REAR SETBACKS FRONT PERMIT N0, SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.ZZ� USE ZONE DEVELOPMENT NO PLAN CHECK FEES $