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X2020-2460 - Permit Application
'0°°r Print Form Worksheet for Combo Building & Solar Permit Application oFm r Comm'I r Residential City of Newport Beach - Building Division o NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL oa" [-Building [- Grading [—Drainage [- Elec r Mech r Plum Cu Yd Cut Cu Yd Fill Project Address (Not mailing address) r Flood r Fire F_ Liq r Landslide rN/A Floor Suite No 15(01 McsA_-mow@. Description of Work Use F' Const Type F 129 �Er? �-y 1,4•,>. # Stories # Units (if Res)F_ oN 6u:d7 D t�p� © gglc.�iF,�s. �� New/Add SFI o - _- Remodel SFI �� - Garage/New/Add Valuation $ Material/Labor j Dov OWNER'S NAME Last First LAe ez; Owner's Address Owner's E-mail Address 121 1 w I LSL+ 5.¢ i oc� Lq¢a dHfi� AcobSoN c� P/astT ._Ce, K City LA state ZipcjdO25 Telephone 3fO-g} 9-i,966 APPLICANT'S NAME Last �pcn� First S'-1 je Applicant's Address Applicant's E-mail Address 1900 S 0,et.o7 ID"d i +C0o Spkvs�oa�Co -%-�cl ,42<. Crr, City I L-05 ..µS2( State Fe --T_ e --r' Zip 9p 1:5'... Telephone 3/0 (,2Z S %5J ARCHITECT/DESIGNER'S NAME Last NQS First Qp4Q_-,Ae_ Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address 190 S BN ( f .q +140c, Pu; 'N#fte "Noel ArOr— ca -1r City I LA State I Z' Zip 5bp2a TelephoneF316 826.2tv� ENGINEER'S NAME Last V P (Zic IA. First �— Lic. No.F_ Engineer's Address Engineer's E-mail Address (a�� wp,5r4: .6... gtvo b.�Aaela,e tvn2tt City Gv( L f State Zip FgD-z32- TelephoneF-7,115 31¢ •6046 CONTRACTOR'S NAME/COMPANY Lic. No. F Class F Contractor's Address Contractor's E-mail Address City State F_ Zip F— Telephoned SETBACKS REAR SETBACKS FRONT PERMIT NO. ' C _&Zo ._ Z(-16- 6 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $