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HomeMy WebLinkAboutX2018-3541 - Permit ApplicationPrint Form A Worksheet for Combo Building & Solar Permit Application F- Comm'I (— Residential City of Newport Beach - Building Division l NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL rBuilding F_ Grading rDrainage rElec rMech F_ Plum Cu Yd Cut Cu Yd Fill Project Address (Not mailing address) 1- Flood r Fire r Liq r Landslide [N/A Floor Suite No .or F_ F'' /UD U � _ _ B✓ Description of Work Use Const Type F # StoriesF_ # Units (if Res)F— iJC Li m l �/J - yo, 7-cL&lw`,-za I�i�6w& S�q Valuation New/Add SF Remodel SF Gara a/New/Add 9 F— $� D Material/Labor OWNER'S NAME Last First Owner's Address Owner's E-mail Address 1�2�3ir�eYzl�� City / y / , n � State Zip Telephone) APPLICAvN\Tt''St. N/AKM/E�t Last ICL I� First Applicant's Address (44 Applicant's E-mail Address City State �T ZipivS Tele one ARCHITECT/DESIGNER'S NAME Last First IF_ Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City � State F_ Zip F Telephone ENGINEER'S NAME Last First F_ Lic. No.F_ Engineer's Address Engineer's E-mail Address City State r_ Zip F- Telephone CONTRACTOR'S NAME/COMPANYZ Lic. No. ? Class Contractor's Address �/ Contractor's E-mail Addres �#� �Gf� PrCUi �%�o�� Lm Te phone 5/ �7G� City ��r_%%AL State I C '7 Zip z� SETBACKS REAR SETBACKS FRONT PERMIT NO. X( 01L%41 %41 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 213�i�2oi $ USE ZONE DEVELOPMENT NO PLAN CHECK FEES $