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HomeMy WebLinkAboutX2020-2335 - Permit ApplicationnntFot7!,. Worksheet for Combo Building & Solar Permit Application Comm'I Residential City of Newport Beach -Building Division 42 NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMI AL 1J wilding ❑ Grading j ,'Drainage ❑ Elec n Mech F Plum cued cut Cu Yd Fill - --! Project Address (Not mailing address) ❑Flood j-) Fire[- Liq F_I Landslide ]N/A Floor Suite No Description of Work Use Const Type I #Stories #Units (if Res)�II � Valuation $ New/Add SFRemodel SF Garage/New/Add L Material/Libor OWNER'S NAME Last �-1 FV4 First I R(./ c� r�va -- - --- --i -- -- - -- - - -- —2GI ` 0 Owner's Address Owner's E-mail Address City -Iv - - -- -- - - StateUt_j ZIP Q Telephone APPLICANT'S NAME Last I f 4AA,:',I ,k' r%41 A r2 K— I- 1 First Applicant's Address Applicant's E-mail Address Pk- 67V co City I StateG Zip G Telephoi ARCHITECT/DESIGNER'S NAME -- Lic. No Last First i Architect/Designees Address City � State I Architect/Designer's E-mail Address i Zip �� Telephoned ENGINEER'S NAME Last (� 5 K� First�� Lic. No. Engineer's Address (; U ) 2 State �---- �-i I city Stt Fc 1 Engineer's E-mail Address 5�'S I1 nl DZ i� cx Zip l Telephone,- C,;7gC) CONTRACTOR'S NAME/COMPANY I ► � J y� ( � � � p c -1 Lic. No. �4 1 Class C j 3; Contractor's Address City r% State SETBACKS REAR 6 SETBACKS FRONT SETBACKS LEFT SETBACKS RIGHT USE ZONE -7L3 DEVELOPMENT NO Contractor's E-mail Address Zip Q' T(,3 Telephone�l Y V PERMIT NO. YZo c o - G-JJS 7 PLAN CHECK NO. 137 N - Z-a-�W PLAN CHECK FEES $