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HomeMy WebLinkAboutX2020-1842 - Permit Application (3)xzo2-o bLAz 5=''ritr' 41 Worksheet for Combo Building & Solar Permit Application [ I Comm'I f- ! Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL v rJBuilding r Grading ("Drainage [ l Elec f' Mech ❑Plum Cu Yd Cut Cu YdFIII Project Addross (Not mailing address) r -j, Flood rFire [-j Liq f j Landslide EIN/A Floor Suite No Description of Work Use ConstType 10 ie7111I # Stories�l # Units (if Res) New/pdd SF Remodel SF ._ .__ ....,._ __.. i F�Garage/New/Add OWNER'S NAME Last r EQ_r) S ta'FirstF wner's Address 7 id lv Owner's E-mail Address _ C VY ). City ___ -r©) State - - -- - C _. Zip . Telephone 17 e%-- _ g APPLICANTS NAME Last ' ApplicanFs Address t- ..-- Applicant's E-mail Address f - — - City �- f - -- State zip Tel hone ARCHITECT/DESIGNER'S NAME Lesf First LIC. No. L ArchitectiDesigner sAddress ArchiteolYDesigner's E-mail Address ity—.. ..C _.._ J State � ' Zip Telephone ENGINEER'S NAME Last�� I First Lic. No. Engineefs Address Engineer's E-mail Address i City�— -i State j Zip F— Telephone NAME/COMPANY Lic. No.g420I9 Class Contractor's Address ►5 b 1..P05h-_. Dk. CityIiK!1 _Eitel �P✓.. = State FEF i SETBACKS REAR SETBACKS FRONT SETBACKSLEFT USE ZONE SETBACKS RIGHT DEVELOPMENT NO Contractor's E-mail Address Zip Telephoneu7 (907,676;9 PERMIT NO. X���✓I�- ' Oil PLAN CHECK NO. PLAN CHECK FEES $