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HomeMy WebLinkAboutX2018-0877 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application i Comm'I esidential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL pBuilding 1 Grading F-Drainage 1_-j&lleC (,OAech lum Cu Yd Cut Cu Yd Fill l /Project Address (Notmailing address) F_ Flood F_ Fire FOiq f— Landslide F_N/A Floor Suite No qq Description of Work Use ConstType �— #Stories #Units (if Res)I {� �Gy�ieyi-t 1�%+wdR Valuation $ F— Material/Labor' ?-Of C Cbt) New/Add SF Remodel SF I Garage/New/Add �— Last t OWNER'S NAME T I . (LG Owners Address Owner's E-mail Address �7 City u I<J' / // State G Zip �1 Telephonef APPLICANT'S NAME Lalst 2 `� ^� C First { Y + Applicants Address Applicants E-mail Address J ✓,�C) City Bl.�✓Q I ram, I(y State / i Zip �9) ` � TelephoneI /�J 77� mil—% t ARCHITECT/DESIGNER'S NAME Last First � Lic No. ArchitecttDesigners Address Architect/Designers E-mail Address City State Zip Telephone; ENGINEER'S NAME Last /�® (../ /Engineers Engineers Address E-mail Address UX' 213 Z P 4c( City i /� I/5 State Zip' 9z� 7 �elephone! i CONTRACTOR'S NAME/COMPANY 3 n Fp nK C Lic. No. 3S 974Class Y I` Contractors Address Contractor's E-mail Address \ _� f1 �`- City /� State Zip _ 7/ 3 ��elephone, SETBACKS REAR_ SETBACKS FRONT V PERMIT NO. V"� D SETBACKS LEFT 3' SETBACKS RIGHT 3 PLAN CHECK NO. �Ol, USE ZONE '��' I DEVELOPMENT NO PLA;J CHECK FEES S