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HomeMy WebLinkAboutPV2023-0436 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit application @'Ut City of Newport Beach - Building Division IComm'I Residential �TAL 11 ./ / NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL T,iAi (✓Building j- Grading r-Drainage F_ Elec r Mech 1- Plum CuYdCut F_ CuYdFill F_ Project Address (Not mailing address) F Flood F Fire F Liq 7- Landslide F_N/A Floor Suite No 20 40 1 VPP15� 13Ay DR NEw�oR7 ©EA04,CA 77(066 F_ F_ Description of Work Use ConstType `d 12 • 00 K IN r 1) s Y STEM 32 400 pV MoDUCES #Stories #Units (if Res) (at) I D V M I(4o 1tjq EiFS I CI ! RC (oM WE7 (j PANE 6 R /5� L ValuationNi���rn, 3 $I t� Q bor �►ret'rv4� Material/Labor 1 New/AddSF� Remodel SF Garage/New/Add— OWNER'S NAME Last J{12G1iE(Z First 7oE, Owner's Address Owners E-mail Address 2-01 it vPpEF ►i DR City N E VI p6vr bE AC 4 State C A Zip 1 •,• U to 0 Telephone `j 4 `) - (, -77 - „5"-Ip'3 7 APPLICANT'S NAME Last to A itT I rJ First J v W A Applicant's Address Applicant's E-mail Address i`(40 S. s•rAiE COLt-EC&E 0 L V D C-V-,}PERMIT e(IM,*ZL• C0M City I AN A 4 E I /VI State C Ae Zip a1 L$ D (0 Telephone 5 b Z/ 3 2 8 - 5 S 7 ARCHITECT/DESIGNER'S NAME Last M c r (( fa al First A Q Z 8 �A �Y Lic No. 08 rchitect/Designer's Address Architect/Designer's E-mail Address q2. 40 LIM 6NITE AJF_ SE(9MCPE • �Fo�P City I (Tv K V rA V At•I, Ey State FC A Zip 4 z5 0 q Telephone 104 5 (v 00110 ENGINEER'S NAME Last First F Lic. No f Engineer's Address Engineer's E-mail Address City State F— Zip F_ TelephoneF_ CONTRACTOR'S NAME/COMPANY L I R A N R �„ y Lit. No.Fill b "Class Class C I a Contractor's Address Contractor's E-mail Address I4yo S, STATE Lo1lE(4) gtvi #4a cIRA�IFftM/T @o raiATL• cot-1 City (A iJARC- IM State l A Zip `(Lb ba Telephone RSbZ, 3 Z $ - 5 97`1 SETBACKS REAR SETBACKS FRONT PERMIT NO. PI/-�7nj • (j1431O SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. PCCzoz� • I"I (� D y/ ��� USE ZONE DEVELOPMENT NO T v� vp / D PLAN CHECK FEES $