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HomeMy WebLinkAboutX2018-1326 - Permit Application7 Worksheet for Combo Building & Solar Permit pplication (—: Comm'I f— Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL wilding Grading (—;Drainage F-r�ec F_yech FIKum Cu Yd Cut l 111 1 Cu Yd Fill [I Project Address (Not mailing address) F-1Flood (-11 Fire F1 Liq F—I Landslide F'N/A Floor Suite No CoDb Orchid Ave 71 Description of Work Use F -I Const Type 1-i # Stories�� # Units (if Res)[ new s --.. - ..... -_� _..- -- Valuations Material/Labor � New/Add SF �y(Remodel SF Garage/New/Add yOp L /.P. 1J� OWNER'SNAME Last MPJ[ �i la�� �'` First Tp Owner's Address Owner's E-mail Address / /1 IQNI���mce,�.c©rvy. - I City 0_0P-mC,_d� Mti,,�.State L �" ) Zip � � _-� Telephone�(,/ZJ•Z'��i...J.a�Z`� APPLICANT'S NAME Last — �� �� �SCy� -', First \ o n Applicant's Address Applicant's E-mail Address ix I Ix; CiODr I- -- ee,�tt� II -7 City ;Zrl< cle t" .._.-. f state C.AC__.I Zip ��zGJ Tel �'C�_ 278 1 1 -2-'l ARCHITECT/DESIGNER'S NAME Last MV1G`rLc First + m Lic. No. i..- (71%1 Architect/Designer's Address Architect/Designer's E-mail) Address -- ,11 G1,��CacVAGAi,/f/ ..C`, f U��1 p�t�r� -O /- f State Cit �Ll[ni` `iJZccu'! C _.. Zip I Z SPS Telephone /7�', % J cj'�.' 7C(7`f ENGINEER'S NAME Last Tra,-, 1 First W Lic.No. bZt.163 Engineer's Address Engineer's E-mail Address City L1(tlV't° State Cis zip 1U4� Telephone -7i Ci- -.C-LC�-cI„ _. _-_-- __.. CONTRACTOR'S NAME/COMPANY y r / b�L� Lic. No. F77I Class J Contractor's Address Contractor's E-mail Address Il > _4aarbor. CreS+ C(�cl --- --1 F0.Y�;_Ch� (-amAiL_. cc rn ) City CaP 1 State f Zip ej2(yZ Telephone �/��I a7b - l?j�27 SETBACKS REAR SETBACKS FRONT PERMIT NO. ']j SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. /� n /J(7 �7 / USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ - l l r 6� C� '®