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HomeMy WebLinkAboutX2020-0702 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application F_ Comm'I F✓Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL r Fv-,6uilding ( Grading rDrainage rElec rMech rPlum cuydcut � CuYdFiIIIU Project Address (Not mailing address) I- Flood j- Fire F_ Liq r Landslide I —N/A Floor Suite No Description of Work Use — Q Const Type # Stories # Units (if Res) �Tt %^� R AThQo 'Q a0%L V Valuation $ Material/Labor F59JOyu New/Add SF Remodel SF Garage/New/Add � �� OWNER'S NAME Last®/ l/ First CSC TT c t Owner's Address Owner's E-mail Address l3 j/i`z L� .G Cud /��i�/c%/ti Gr%�;rna,� aac�Ps; rdm City �j� f 6�C % State / / Zip 3 Telephone �L�/, _3u4'J-� ' / APPLICANT'S NAME Last da / / First Applicant's Address Applicant's E-mail Address 7l siC1� /�i'i vc� /Gri�%,� ll�° Gt City //,�j po//_- gerC�j State l Zip Telephone q-z/q-:3®q-Q ARCHITECT/DESIGNER'S NAME Last �rooewsTEq. First 5 ( Lic. Architect/Designer's Address ArchitecUDesigner's E-mail Address ` 332 �o2EjT q� S.,rrE 1'} I:eRy@�o�r3tS'fE2AeCN tT�C,TS . Cam+ City r �ptGWJR �t�Ch State Zip g2651 Telephone qq -436 12W ENGINEER'S NAME Last First F Lic. No.F Engineer's Address Engineer's E-mail Address City �— State Zipr Telephoned CONTRACTOR'S NAME/COMPANY Lic. No. b"� yZ Class' T—EFIM (dLhw[o Re4L C re DQV Contractors Address 0nlK (AL,fi,yw(j Contractor's E-mail Addressf -5 2g( 014) v_V_�� Unl rgv1� �� 2�V tJ i_1-i l^n©• CCt &A City co�� `Ae`, State F4 Zip Q2L2% Telephone�_6F 5"29' 1 SETBACKS REAR SETBACKS FRONT PERMIT NO. )(z_D O fC SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $