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HomeMy WebLinkAboutX2013-2632 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application m City of Newport Beach - Building Division F, Comm'I r Residential g NOTE;.. PLAN CHECK FEES DUE AT TIME OF SUBMITTAL SWP� .. Outlding- (- Grading [-Drainage (`Elec I-Mech Plum cu Yd cut- Cu Yd Fill F. Project Address (Not mailing address) r Flood I- Fire r Liq r Landslide iN/A 'Floor Suite No F77 F r� Description of Work : Use F_ ConstTypeI:.#Storiesr_' #Units llifResF I:..: ...: ._:. Valuation$ g New/AddS,FF__ Remodel SFFi Garage/New/Add Material/Labor�' '2 OWNER'S NAME+ / Last ✓.f��' -.__ j Plfst ._—.��(('n v��q_ L O r. Owners Address Owner's E-mail Address .� city - �- -- — State C� Ztp TelephoneFir — Pg APPLICANT,'S:NAME Last u7/IGGjv First' C%kyr Applicant's Address Applicants E-mail Address City[ G '. State _ ZipI G Telephone ARCHITECT/DESIGNER'S NAME Last I First_ o, Architect/Desi net's Address 9 ArchRect/Designer's E-mail Address n UEP 86 2013 city �. _ State F_ --i Zip Telephone DEyELOPI�ENT -- 4. ENGINEER'SNAME Last _ -� First ti �N o. �oL - wt Engineer's Address Engirleei'sE-mail Address T36ti �� SD "� City State Zip !( p 7 .._� Telephone[: � % 7 CONTRACTOR'S NAMEICOMPANY/ ai/A� / Lic. No. a� Class fl1'r1 � �'Sc ContractoPs Address Contractor's E-mail Address �a�� �-7 r� / .City GYi`i/L State CI ZiP 97z-&.�J Telephone _/�1 = 1�ld SETBACKS REAR (n SETBACKS FRONT I® PERMIT NO. "SETBACKS LEFT ' S SETBACKS RIGHT PLAN CHECK NO.� USE ZONE PC S"� 3 DEVELOPMENT NO PLAN CHECK FEES $