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HomeMy WebLinkAboutXR2022-2620 - Permit ApplicationPrint Form �Vorksbeet for Combo Building Solar Permit Application ��EWp°RT ---� g ppi (� City of Newport Beach - Building Division xx Comm'I Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITT/�L����� C1C/FQ R�' Building (- Grading Drainage F_ Elec F_ Mech F- Plum Cu Yd Cut Cu Yd Fill Project Address (Not mailing address) F_ Flood r" Fire (� Liq f— Landslide FN/A Floor Suite No a0 S if. 4 A L Vbo A f3 L_v r)FA Description of Work Use F—Const Type 1 TAN W ottV- - W kT;a . Lf kTw i i-On AT tp to pem OV & O A; Lt- C),F W_ ( Tr_"e7-j # Stories? # Units (if Res)[— u zx _,4__..._ Valuation $ New/Add SF Remodel SF r Garage/New/Add �� Material/Labor i000 OWNER'S NAME Last First Owner's Address Owner's E-mail Address _7 City State F Zip Telephone APPLICANT'S NAME Last First Applicant's Address Applicant's E-Mail Address SunriSecA�S'fY'vG'� G Q 'r [� / City (j,n,p,� Gam.... - - _ State Zip 1�i8�CJ Telephone �I`1_ Z 7,3 `�8q tp ARCHITECT/DESIGNER'S NAME La Arch itect/Designer's Address f�` �,O City State F— First 16f/Y . _ Lic. No. Architect/Designer's E-mail Address V Zip Telephoned ENGINEER'S NAME Last First Lic. No. Engineer's Address Engineer's E-mail Address City State Zip � Telephone CONTRACTOR'S NAME/COMPANY G G Lic. No. 1V5 b95j0ass�-- Sv ►�I � S � L_L. C Contractor's Address Contractor's E-mail Address SUr,Ir- Secons�-rVG+L�>v) gG C kax�.ro�''i City ®ri o G f_ State �`�,p�+- Zip clZB(ob Telephone C t tla7 3 _o�4(o SETBACKS REAR SETBACKS FRONT PERMIT NO. >>�� PLAN CHECK NO. :1:3: : :z,: V SETBACKS LEFT SETBACKS RIGHT USE ZONE DEVELOPMENT NO PLAN CHECK FEES $