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HomeMy WebLinkAboutX2021-1437 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application omm'I r Residential City of Newport Beach - Building Division NOTEPI AN r.HPCK PPPC nl IP AT T11.1 , - ... -..­n� yr OUDMI1 IAL V "Building (—Grading rDrainage rElec rMech rPlum Cu Yd CutF_ Cu Yd Fill ''Project Address (Not mailing address) r Flood r Fire (— Liq f Landslide f N/A�Floorr Suite No �Olb'� �iRCN Std2�ET I I 10� Description offt Work Use Const Type 1,_ B G�1 th'iVR�Ta j2 ��-�� •� �' 2 # Stories # Units (if Res)F Valuation $ Material/Labor New/Add SF�— Remodel SF I Garage/New/Add �-- OWNER'S NAME Last p , (�� First ��q 1 Owner's Address Owner's E-mail Address `lCILIa ATI 70 City VA, State F� Zip Telephoner 1 APPLICANT'S NAME Last_— First Applicant's Address Applicant's E-mail Address City State F_ Zip [— TelephoneF_ ARCHITECT/DESIGNER'S NAME Last h- GS s<} First I'i� (1}� Iq -MIA 6•6 Lic. No. �' Zt-A C, li Architect/Designer's Address C Architect/Designees E-mail Address 31� �i,A)�I1 F-D., S--re 23\ pp 11 AA&jAGAAA4 eSI"->h LC,, J CC M (may AIN City (Et'D GS D C, Ake State C N Zip q I S,,o Telephone � (D -. { i &. —1-1 � 4j ENGINEER'S NAME Last First F_ Lic. Nof— Engineer's Address Engineer's E-mail Address City I State F_ Zip F_ TelephoneF— CONTRACTOR'S NAME/COMPANY tr5.�. (� J- Lic No. 1tTw' Class�— K Contractor's Address Contractor's E-mail Address 3(k t}AtLkA (ZID. , s wt M City —( vkc,a SAS 0 `,A xs State CA Zip q 13--yo Telephone SETBACKS REAR SETBACKS FRONT PERMIT NO. % SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $