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HomeMy WebLinkAboutXC2022-1852 - Permit ApplicationPrint orm Worksheet for Combo Building & Solar Permit Application Comml F— Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL F—_Building 17Grading C�Hrainage F-Elec F—bMech &plum CuYdCut Cu Yd Fill Project Address (Not mailing address) F- Flood F- Fire F- Liq F— Landslide _N/A Floor Suite No Description of Work —14 � E:r j d tf U c 7, Oj c L, Use ConstType ^ GR �F # Stories # Units (if Res) _-__ 1_N�_> Q ri/N[�S/ - Wes+ - New/Add SF� O Remodel SF f Q Garage/New/Add �— Valuation $ 1119 ____ Material/Labor 00 f OA Q.i OWNER'S NAME LastT . N4k. J ---- wner's Address — Owner's E-mail Address city p6aT C state — .-- — -- __ - ZIP 7149464 Telephone W7_, /4 Ad APPLICANT'S NAME Last V RUIV/ T� Applicant's �14 4.N Applicant's Address �J — licant's E-mail Address City — _ --- F X=6 / P _ /�w/1�jQ / �h�t� State G^ ZiP Tele hone ARCHITECT/DESIGNER'S NAME Last r / ^ �"�— LGGGh� — First Lic. No. C. Architect/Designer's Address —'z �q r4�• Architect/Designer's E-mail Address q y —� �//G__/9 — -- State 7 l� /$ZiP Telephone City ENGINEER'S NAME Last — VG'_ C N6. First F7777— _ Lic. No.r-- Engineer's Address Engineer's E-mail Address --.r'P r7rf ✓aN -Gage✓• City a A Vill-e- State _ Zip ado ,Telephone f Yf •_ `l7y �9la CONTRACTOR'S NAME/COMPANY Lic. No. Class Contractor's Address Contractor's E-mail Address City State �— Zip Telephone 6 26 � � ,% 'Yo,- yg�1. cur SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO L i USE ZONE DEVELOPMENT NO 11 PLAN CHECK FEES ES