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HomeMy WebLinkAboutX2017-0993 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application F- Comm']Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Building r- Grading F -Drainage XElec F ech Plum Cuvd CutF— Cuvd Fiill Address (Not mailing address) [ Flood j- Fire F_ Liq j Landslide CN/A Floor Suite No 7 /_A J A v'-4 1 F_ .Sirir[773 New/Add UseR�! QConstType W # StoriesFT # Units (if Res) OWNER'S NAME Last I /X44'7 rJ f�dJ First I 110HA Owner's Address Owner's E-mail Address City A/5A.,�P®ltrhWkc e State F-44 Zip Telephoned APPLICANT'S NAME Last 130Av1,A Applicant's Address q 1 v W►a-t --,_0 City1 " I e- _ - State �A ARCHITECT/DESIGNER'S NAME i ­# !E2OA010'JJI& JWJ Architect/Designees Address moo_ WA/40 City I /)? 01,Ne° State _6A First) VANIeL Applicant's E-mail Address n�+9(J��GrJ/eLtgwt(�Gdr�9�; -eete.. Lo m Zip ��j(j(� Telephone411M'L"7/3si'ai ® First j9,4J//ffL Lic. No. 0-1-V3413 Architect/Designer's E-mail Address JA�� r�v�iga��/Gho`���7 • �.a�t Zip 9 1 Telephone) ��--3S-q® ENGINEER'S NAME Last 1,4j® First�1® Lic. No. -3Z0 5 69 Engineer's Address City State CONTRACTOR'S NAME/COMPANY[°® Contractor's Address Z d `I S j &,4v61_c/Z 6A(. City #1A,P1`sBICYr'�u-4cc�Ntri State Engineer's E-mail Address Zip I Telephoner®`_ /Z0 Lic. No.Classy 12--j t)5 ©G({ Contractor's E-mail Address Zip qZ Telephoner rSP SETBACKS REAR SETBACKS FRONT PERMIT NO. f` * p ^ 0112D SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 06o- - ,G 17 USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ Lo -- 9 • Q;