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HomeMy WebLinkAboutX2018-0421 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application r-- Comm'I rl� Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL `PC Building F_ Grading F-Drainage KElec F_Mech lProject ijC Plum cuvdCut F CuydFill F Address (Not mailing address) C Flood (- Fire F- Liq F_ Landslide f N/A Floor Suite No �— Description of Work Use ConstType # StoriesT # Units (if Res)F— nn Valu a * © D D Material/Labor / New/Add SF� Remodel SF�— Garage/New/Add F OWNER'S NAME Last Tyr - First Owner's Address Owner's E-mail Address ,P•/!/' I /fit// �►`�. C�wJ City . LorN y�'- �24� _ State j� Zip , E 6'G Telephone7ZfY- (•3�-c��'G Jz APPLICANT'S NAME Last I0.0 rN1B/� First Applicant's Address o�d l aO� S�cvl 7C t114 de b Applicant's E-mail Address _ cz b AEI_S1g0 eo,j vyror i 1• cow/ City w w+ �� St zip 90? Telephone %/eq, ARCHITECT/DESIGNER'S NAME Last �Irc[Y�+�/Ol/ First Lic. No. Architect/Designer's Address Architect/Designees E-mail Address Re SaK - v(a_ WV,__ W-aB City F— State F_ Zip F Telephonel— ENGINEER'S NAM��j) Last OlJ —TUN First l � Lic. No.�B ( q Engineer's Address — Engineer's E-mail Address 1-l ? 2 ►�@az� f-_ / City S State Zip FqW Telephoner— CONTRACTOR'S NAME/COMPANY /r \G�n/1 Lic. No. lass r— Contractor's Address Contractor's E-mail Address 2 Z30 49e n_' G(2-1 i S L2 L, y'O VV\e ✓h A aa—Oy�`v✓l t4.i L. - LOW\ City State l u'l Zip 52 Telephone F7 (Lf - ea_3- 'LOLI SETBACKS REAR SETBACKS FRONT PERMIT NO. Ubff xr- Ole - SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 'r&q&_��2OI� USE ZONE DEVELOPMENT NO t�— 01 G3 PLAN CHECK FEES $ 3r7W /. 0K611 — M i- / XUIP-D929 dX-AW _06