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HomeMy WebLinkAboutXC2023-0007 - Permit Application—' Combo Building for C ---g &Solar Permit A F- Comm'I r Residential City of Newport Beach - Building Division hhllCatlOn W�a, NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL f-Building F- Grading j-Drainage F- Elec r Mech Plum CuYdCut Project Address (Not mail[r CuYdFill mailing address) Flood F- Fire F_ Liq r Landslide F-N/A 3 �I Floor Suite No f _ 1 _ Description of Work -- (jWj p Use IN-) ConstType -_ # Stories # Units (if Res)F— New/Add SF N q Remodel SF 1I zrj Garage/New/Add t\� Pr Valuation Material/Labor OWNER'S NAME }"iKle Last - Owner's Address COn1qlt�L First Owner's E-mail Address City State �— Zip I Tel APPLICANT'S NAME - Last b 1 � E _ RjT4,First Applicant's Address I1 � Applicant's E-mail Address City State �-�tntiR-� First r - -- _ Zip Telephone ARCHITECT/DESIGNER'S NAME yyyyyy�����,,, Last yva Architect/Designer's Address - - Lic. No. �— Architect/Designer's E-mail Address °- �D F t ;tLrolo5__ Kw�_llo-_2,b5 City / � 1 S - -L2�A S State «'j - -� Zip �'����� z. 2 Telep'lU hone c, uS ENGINEER'S NAME Last � L t Engineer's Address First r_ Lic Nof_-- _ City _ Zip _ State F— Telephoner CONTRACTOR'S NAME/COMPANY Uilp RS �� t� _ Lic. No. !0 Class Contractor's Address 70, S Contractor's E-mail Address Z �--- City v inn StateI I V Zip OU�Q�LE7Stfl�QIlp1iV l t . Co" I lj� Telephone � y SETBACKSREAR SETBACKS FRONT SETBACKS LEFT PERMIT NO. ✓�G�Z3 , mo � SETBACKS RIGHT USE ZONE DEVELOPMENT NO PLAN CHECK N0. PLAN CHECK FFF.c c