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HomeMy WebLinkAboutXR2023-0656 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application of £WPoR> ,K Comm r Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL u Building Grading f—Drainage I—Elec FMach (—Plum Cu Yd Cut Cu Yd Fill Project Address (Not mailing address) I- Flood F_ Fire (— Liq r Landslide F_N/A Floor Suite NIo. 'Iry 'Ac t+Gir �- Bec�RZ (6 Description of Work Use s— Const Type F_ LSwfiel�aMaae ft,�:if in �n1�5 �10(,/j<I�LSI�LSJa7.(,S # Stories #Units (if Res)s i T5ZG3,ySIc3ryd5zalI?Slo-T 1 ©207 135201_ ,-Qhd y52a) - Valuation $ Material/Labor 701� New/AddSFF6 Remodel SF � Garage/New/Add � OWNER'S NAME Last First p �Qf byv l o, to Owner's Address Owner's E-mail Address 2115 SLrer�n�bn__�laC2--�hol�e/t (1 r City IJe W �¢ Y t �eQ C 1� State �1 — ZiP - 2 �ow3 Telephone c),N 2116-61 0g APPLICANT'SNAME Last V4,1rev, First 1, Applicant's Address Applicant's E-mail Address —Ij^122) ©fq.t ¢// Joe FfJeC (�j/t1QYPe"L®����ctLL��ly-vS;V<rRirCpr 6af YZSV�'. �r� Zi ' Tele hone 7— City G 1 G State C P ] p j"T ! 7 z ARCHITECT/DESIGNER'S NAME . Last �ytr ley First V T o V\ Lic. No. F— Ar11chittecUDDesig/n-er's Address f Architect/Designer's E-mail Address I_�1J83 I�llGff ��•- a®+\L+\A y�iJ�J�gr"FQtli�'OT City �r����� State 0 Zip' Z Telephone ( I zy5-2473 ENGINEER'S NAME Last First F_ Lic. No.r— Engineer's Address Engineers E-mail Address City �® State F__ Zip F_ Telephoner CONTRACTOR'S NAME/COMPANY S :rf C Lic. No. 1 �6� 3 Class Ign� I ges�Orca�'an Contractor's Address Contractor's E-mail Address 2ZI (:)Yr,Ange, Lwc,:4 v,:. sparse-•® S� a j reSfo ra tio� City � e� State C� Zip 9ZCd�' Telephone -71�73?—_7pgz SETBACKS REAR SETBACKS FRONT PERMIT NO. %\OZOZ3.0656 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.pC7073 —OSKO USE ZONE DEVELOPMENT NO PLAN CHECK FEES $