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HomeMy WebLinkAboutPV2022-093 - Permit ApplicationPrint Form Worksheet for Combo Building i& Solar Permit Application R> �FWPp [-I Comm'I [-j Residential City of Newport Beach - Building Division���`� NOTE: PLAN CHECK FEES DUE AT TIME OF SUBM TTAL FE Grading rDrainage r Elec [ Mech [`I Plum j7 - Cu Yd Cut - i Cu Yd Fill 1 ess (Not mailing address) ❑ Flood r Fire f Liq F_ Landslide IC N/A Floor Suite No . ��R-------- -- ------ - ----- --- -- Description of Work Use Const Type Ne.,,, 44 olal� slet�e�,.,.. Z1. Z8 K+.✓ - —� # StoriesF- # Units (if Res)F— New/Add SF LValuationemodelSF�IGara/NAMaterial/Labor /_ Zo•oa FOWNERIS ®®-- LastFirst�2---Owner's E-mail Address State Zip x/-26 - � Telephoned j APPLICANT'S NAME Last / ----- - ---------s-G Applicant's Address - Applicant's E-mail Address I r� - - jc©e e�O®0 , City State Gi( I Zi p P Z p 6tJ i Telephone �/Jr/ Z P/ 9S ; i ARCHITECT/DESIGNER'S NAME Last First -- - Ac 61 Address i Cid' !I State Lic. No. Architect/Designer's E-mail Address Zip Telephone— . -_ _-- - - I ENGINEER'S NAME Last �— First �— L Lic. No.� I Engineer's Address Engineers E-mail Address - - --I � State Zip City � � � Telephoned CONTRACTOR'S NAME/COMPANY Lic. No 6�3_g(� _ c 3 I Class Contractor's Address Contractor's E-mail Address 2X32Z�,6�7 C - City ©2a 1Z yt' State Zip Telephone -� 3Z '� 163 SETBACKS REAR SETBACKS FRONT PERMIT NO. FVZ02 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. OC15 4 - W ZZ USEZONE DEVELOPMENT NO PZUZU-0233 1-' PLAN CHECK FEES $