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HomeMy WebLinkAboutPV2023-0468 - Permit ApplicationPrint Form _ WVorksheet for Combo Building & Solar Permit Application SEW PO` F COmm'I r Residential City of Newport Beach - Building Division t14 6 NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL F-Building j_ Grading rDrainage r Elec F Mech j- plum Cu Yd Cut j� Cu Yd Fil I Project Address (Not mailing address) F_ Flood r Firer Liq r Landslide I —N/A Floor Suite Nc zo31 I- f Description of Workinolz e V _ Use 5onst type - �o•S kwfl o #Storie�j #Units (if Res)[_ New/Add SFF� Remodel SFF— Garage/New/Add �— Valuation $ /� Material/Labor yv Z 5 0 OWNER'S NAME Last First Owner's Address Owner's E-mail Address City State F_ Zip F_ TelephoneF� APPLICANT'S NAME Last Applicant's Address�� City 10 2.a.��'r'/ State C� ARCHITECT/DESIGNER'S NAME Last Architect/Designer's Address First Applicant's E-mail Address )Co�_ �� Pi,k.o POC9 ;� co , zip Telephone is/_Z�J._ 9,55 First I Lic. No. F— Architect/Designer's E-mail Address City State F_ Zip F— Telephone[� ENGINEER'S NAME Last First F� Lic. No.F— Engineers Address Engineer's E-mail Address City I State F_Zip 0— �Telephone CONTRACTOR'S NAME/COMPANY 01 3 j� �eP, � � ,1� _� � Lic No. � 6 3" Class Contractor's Address u�-Fl �Co�actor's E-mail Address 6 z�3z �. OCve A�� y U!2 a L State C� Zip Telephone SETBACKS REAR SETBACKS FRONT PERMIT NO. 47U1B� SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. �Ii2zJ� USE ZONE DEVELOPMENT NO - ni AK1 .1'Y Its