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HomeMy WebLinkAboutXR2023-2714 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application City of Newport Beach -Building Division FV/C r Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Building j- Grading F-Drainage F-Elec F_Mech F_Plum CuYdCutr— CuYdFill� Prniect Address (Not mailing address) - Flood F_ Fire r Liq (`. Landslide FN/A Floor -r rlasr-rintion of Work 'kn \.lak-a-r 4�c,manQ d'e Da c_ v,1; -t r AI12 Suite No F11Z User— ConstType r� # Stories # Units (if Res)�ll' - - -- ---------- -- Valuation $ Garage/New/Add dd �— Material/Labor New/Add SF�— Remodel SF 1 a/New/A 2,� � 9 - _ OWNER'S NAME Last First e.J La t ` I - �. �✓- b>zc - - Owner's Address Owner's E-mail Address __udr, y, \ UeQ Telephoner City N-e (�c State Zip APPLICANT'S NAME Last lQ Applicant's Address City _G`trc v 6. 6 f Qv?✓ State I (i ARCHITECT/DESIGNER'S NAME Last r-- Architect/Designer's Address City State F— ENGINEER'S NAME First l � } VVI. Applicant's E-mail Address r�� 51 v Zip lq l reS}acq floes �� Z �, G(( Telephone r� First F— Lic. No. �- Architect/Designer's E-mail Address Zip �— TelephoneF- Last l First L _ Engineer's Address Engineer's E-mail Address City State �— CONTRACTOR'S NAMEICOMPANY Contractor's Address `j22I ©c�a�g� � �Orc32J1 (jy-auk Lic. No.r_ Zip �— Telephone— Lic. No. rClassr3 Contractor's E-mail Address eT1.)r re na i reSlt'owt Av ( - �08 z State CA Zip ��� Telephone P71`I_?� , 9 REAR SETBACKS FRONT PERMIT NO. / EFT SETBACKS RIGHT PLAN CHECK NO. 2.'11