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HomeMy WebLinkAboutM2023-0084 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application F_ Comm'I Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUg,{Il( j W% 1A/nr.-) I r Building F_ Grading l-Drainage F Elec (- Mech r Plum Cu yd t Address (Not mailing address) F Flood r Fire F- bSiU -mr, HARBOR PEWIT Landslide F_N/A Floor Suite No OF NEVVPPF'; - , Use F ConstType F --e .FI w w ., -- # Stories # Units (if Res)[- _ l Valuation $ New/AddSF1 Remodel SFF — Garage/New/Adds Material/Labor OWNER'S NAME Last NIr Owners Address 3 5 Seal l\t C. -D V - City I 5�A V, FV; t, . \_ i k r`�CCZ State FC A APPLICANT'S NAME Last Applicant's Address City �i{--/mac,State ARCHITECT/DESIGNER'S NAME Last Architect/Designer's Address First d Owner's E-mail Address Zip Telephone) —- First Applicant's E-mail Address Zip C�;Z�Telephone% First r — Lic. No, r— --- Architect/Designer's E-mail Address City I State Zip [_ Telephone[ — ENGINEER'S NAME Last I P - First n Lic No/ q L( Engineer's Address City ( State` J Engineer's E-mail Address Zip CLTelephone[] CONTRACTOR'S NAME/COMPANY `. ilk, t V\C Lic No.. (l( 3Cr Class Contractors Address Contractor's E-mail Address St r�1V�czCt< C)cti j City l u State.'{ Zip (�-�2� Telephone Cj 1' j C(�'-�j 3S� SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT USE ZONE SETBACKS RIGHT PLAN CHECK NO. { (] gL DEVELOPMENT NOPLAN CHECK FEES S