HomeMy WebLinkAboutX2020-1906 - Permit Application (3)Pnnt f or'm Worksheet for Combo Building $ Solar Permit Application AWIAI
F Comm I r Residential City of Newport Beach - Building Division
/7 NOTE: PLAN CHECK FFFS nl M AT T1.11 111
Building r GraOUDMIIiAL
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Project Address (Not mailing address) F Flood Fire F Liq r- Landslide f N/A Floor Suite No
06 (�otde tiro F_ F__
Description of Work e-y { 4e A (J C4 to
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# Stories #Units (if Res)
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Valuation $
Material/Labor
New/Add SF�— R�—
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OWNER'S NAME Last �y�/j �� y
First �U�CCs JQSsi��
Owner's Address
[�j/ / Owner's E-mail Address
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City �„ /1d� /�.G / State Zip f�Cj�ryiv
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APPLICANT'S NAME Last erFirst
Applicant's Address Applicant's E-mail Address (s
City @Coy.ne_f
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Zi t j� S e State p Sys
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ARCHITECT ESIGNER'S NA Last
U Firsty Lic. No. F-e"._ _—
Architect/De ' ress Architect/Designer's E-mail Address
City rj, (} r� e i „ State /r L Zip n- Telephone L . C-
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ENGINEER'S NAME Last First �— Lic. No.F_--
Engineer's Address Engineer's E-mail Address
City State �— Zip [_ Telephone[ —
CONTRACTOR'S NAME/COMPANY IGtil�eL��bPlI3 �P�i Lic. No. b�/ Class�—
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Contractor's Address Contractor's E-mail Address
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City a ��� d4 /Frl�rl % State /,tJ/ Zip �flc�iL- �O
9Z 6 Telephone VY Fit 7Slo
SETBACKS REAR SETBACKS FRONT PERMIT NO. r_a'ozz— 006
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. Itj 2&,742r
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $