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HomeMy WebLinkAboutXC2022-2069 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application IW7 "°qrot `�Residential City of Newport Beach - Building Division 1"Comm'[ r, NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL o , Y 46uilding ❑Grading [Drainage [�_).Elec ,�}Mech Plum euvdCut CuvdFill �I Project Address (Not mailing address) ❑ Flood ❑ Fire Liq ❑Landslide ❑N/A Floor Suite No of Work IUse l /[/R nstType # Stories # Units (if Res)C7 Valuation $ New/Add SFF Remodel SF[ Garage/New/Add Material/La �1/ OWNER'S NAME Last �{,� dN��t:` First j Owner's Address Owner's E-mail Address [tI ffJ GV it City fZtij \ k State (r` Zip Telephone • 70.- . +1 t/ APPLICANT'S NAME Last `fj%" First Applicant's Address LM City State UT-1 Zip Applicant's E-mail Address ?I' NCB ARCHITECTIDESIGNER'SNAME Last h .C�� First hl�. Lic.No. (J 12 ArchitectlDesigner's Address Architect/Designers E-mail Address City - -- t r / � State L'� _ Zip r � -o TelephoneMd ENGINEER'S NAME Last FirstLIc.No.F_ 1 Engineer's Address Engineer's E-mail Address — -- i City J State C—� Zip Telephone —I CONTRACTOR'S NAME/COMPANY Contractors Address Lic.No.i (' Class Contractor's E-mail Address i City State—� ZiP Telephone j SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO _ PLAN CHECK FEES $