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HomeMy WebLinkAboutX2022-0882 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application ozE� r Comm'I (Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL G. oa " Building Grading ["Drainage rElec rMech [Plum CuvdCut F CuvdFill F r Landslide (—N/A Floor Suite No Project Address (Not mailing address) r Flood r Fire QA / ti /lv GI/� cPGGxtil/f�T 01ZGG 3 Description of Work Use �btlp pe �/ s j_lfc W a/ T OF 2 — Sim Xe la�/!� Stories nits (if Res) FZ 2—ci/ j� f�ia/►.L' i�i/l/�Lli /. M0 V/7 0We OZ Valuation$ Material/Labor New/Add SF /4 Remodel SF Garage/New/Add OWNER'S NAME Last G!'q Z_r! �� `�� First O_e6: \ Owner's Address Owner's E-mail Address City State CA Zip r 901.711;� Telephone ',!q2 7 ?- APPLICANTS NAME Last %�i�/ilwl First 1111Le'lAw Applicant's Address Applicant's E-mail Address p/L SGo�f-e �3a�v�' a �sn,�ae.Cm�J /i�.eG'��/ City T State 7el;w Zipr 7b; Telephone `;714) / vv ARCHITECT/DESIGNER'S NAME Last %�%ll/�/I//-/mil First �dG//jLpJ Lic. N � �— 7-0 Architect/Designer's Address Architect/Designees E-mail Address � 2/ z/ 114672-'Wev 3Zo/ , 6), City I %y �7 State F7 Zip 1�70P2. Telephone 7/ ,,,0� ENGINEER'S NAME Last S/GV/`t FirstFh/'/ T/i-A Lic No. �j7 20 Engineer's Address Engineer's E-mail Address City �ijiJ�Fy �/ CQ'7� N/ZV'Q State 7i9- Zip q� Telephone (qW) 7 f S= 6 2 $_/- CONTRACTOR'S NAME/COMPANY '� AN ©/vG, 7e Lic No %S WS Class I O Contractor's Address Contractor's E-mail Address 7 95,E Z Se1Q /3/ZEEZ� 2�}M�r1Pr L%.r� Od, G4N/ 7 City Ilaw 01V7 /-rw M1411_11 State C,4 Zip %TP I p Telephone (7 � f� 9 Z) SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK A. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ _515� 7