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HomeMy WebLinkAboutE2023-0573 - Permit Application] WorksheetrfooECombo Buildinng & SolarPermit Print Form � Rr : PLAN CHECK ES UE AT TIME K Comm'I r Residential City of Newport Beach - Building Division = F-Building F_ Grading rDrainage rVElec F Mech (- Plum CuYdCut F CuYdFill F Project Address (Not mailing address) F_ Flood r Fire r Liq r Landslide rN/A Floor Suite No �_000 3l OnL , s D %4 c. 91 a tJeAu por+ gt,,CrR CP� Q'2 66 d �1 `4 i v Description of Work Use F—Const Type tMp (1/t *rl UqA45, I X 4 x-J Q 1a c -a� t&4 #Stories #Units (if Res) ?)Xd u 2x 2 LE Ul Valuation$ b Material/Labor Flitoo New/Add SFF— Remodel SF36�d Garage/New/Add 7— aterial/Labor(i/Do OWNER'S NAME Last First Owner's Address Owner's E-mail Address City I State Zip F— Telephoned APPLICANT'S NAME Last First Applicant's Address Applicant's E-mail Address City I State I— Zip F__ Telephoned ARCHITECT/DESIGNER'S NAME Last First Lic. No. ArchitecUDesigner's Address Architect/Designer's E-mail Address City I State F Zip F__ Telephoned ENGINEER'S NAME Last I .5Q1(Ai AM First L, Lic No. ,E�-) �) q Engineer's Address Engineer's E-mail Address 11120 Mrs A 5�rxe f 5Ljk q8b City Jrvr-r� State Zip Gi2-6 Telephone qyy V4 6g10 CONTRACTOR'S NAME/COMPANY 5r C y 5C, rGTr T_)v,C, Lic No. 6G/ j'�(o Class Contractor's Address Contractors E-mail Address _:�) �� - A - A ilz' ddp� City COSTG Al eCjc, State (— ZipFq�G�(j Telephone 7iy-3,2g rYl6 F—z023- OS73 SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. PC2AZ,3 - j SS 7 USE ZONE DEVELOPMENT NO PLAN CHECK FEES $