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HomeMy WebLinkAboutX2020-2395 - Permit Application�rinf Form Worksheet for Combo Building & Solar Permit Application F Comm'I Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL F_Buildingr Grading tl5ainage rElec r—Mech Wum Cu Yd CutF— Cu Yd Fill Project Address (Not mailing address) F_ Flood r Fire F_ Liq r Landslide rN/A Floor Suite No I em�,' I - -- Description of Work I Use ConstType F t a 1 # Stories # Units (if Res)F el Valuation $ Material/Labor New/AddSFF Remodel SFF Garage/New/AddF OWNER'S NAME Last First Owner's Address Owner's E-mail Address City State F_" Zips-F— Telephoned APPLICANT'S NAME Last x 14 o CUT /� girst V-)W �S !^ Applicant's Address Applicant's E-mail Address r I l t (U'`, �-� � � �IQX�I�tl� V v0 S C V C,NIkIiMq o, `l City Lid/ O G, r,, 1 ;; State Zip TelephoneF ARCHITECT/DESIGNER'S NAME Last First _ Lic. No. ArchitectlD/esigner's Address .gn r' - 'Address �! O O✓ tD /1 777 City I --a C, t State �® ZipelephoneENGINEER'S V VLast NAME First F Lic. No.F Engineer's Address Engineer's E-mail Address City State I— Zip F_ Telephoned CONTRACTOR'S NAME/COMPANY (- y Lic. No. 1t �/ i {� 11v �,,� 14 �' \ )i Class Contractor's Address Contractor's E-mail Address City F_ � <rtiU n i�� �� �.��v � State �Zip Telephoner SETBACKS REAR SETBACKS FRONT PERMIT NO, 3 I SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. I (} USE ZONE DEVELOPMENT NO PLAN CHECK FEES $