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HomeMy WebLinkAboutX2022-0633 - Permit ApplicationX 2022-O(0233 print Fom Worksheet for Combo Building & Solar Permit Application orEW�Re jr/Comm'I FVCsidential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL rVuilding F_ Grading rDrainage rElec rMech F- Plum CuvdCut CuvdFill F_ Project Address (Not mailing address) F Flood F-, Fire f- Liq r- Landslide F_N/A Floor Suite No Ai�/urr�p D N�a� F_/% 7 Description of Work /N% n -US i0,V Use (/Const Type (� j2 Sit e z/� Awn /z G 4-e oGl/A u -.S # 5toriess # Units (if Res) Fb _Ci Valuation$ Material/Labor / New/Add SF� �paAadel`SF Garage/New/Add F OWNER'S NAME Last IA-VIAlf_ ©, '', First Owner's Address Owner's E-mail Address City State F Zip F— Telephoned APPLICANT'S NAME Last 7I2-UA>C First I A % Applicant'skddress Applicant's E-mail Address2,00 j 21IJ, A /bX ZA,7i�_ Ai V4'- Ti 7 G of @ BUT City I /_c�:)AL/L 0A /IS G AICD State I v""'., zip / ���Z Teleph-24 � oned I 9�% ARCHITECT/DESIGNER'S NAME Last First/2-p/I D Lic. No - 2g'Z T,5_Architect/Designer's Address Architect/Designer's E-mail Address - A-&. �I A%Q I/kj City State �—'. Zip F—, Telephone ENGINEER'S NAME Last First F_', Lic. No.r— Engineer's Address Engineer's E-mail Address City State Zip F Telephoned CONTRACTOR'S NAME/COMPANY Lic. NoR q _7q3 Class Contractor's Address Contractor's E-mail Address City State Zip F Telephone SETBACKS REAR SETBACKS FRONT PERMIT NO. )<2_022 0633 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 0$7y - ZoZ Z USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ '354,76