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HomeMy WebLinkAboutM2024-0017 - Permit ApplicationPrint Form_ I Worksheet for Combo Building & Solar Permit Application City of Newport Beach - Building D`sio��(( V�((�� r Comm'I Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTkt'��� 'J'v �flr\S [- Building / \F_ Grading [—Drainage [- Elec [- Mech [- Plum cued c ARBauYd FRi fRM IT roject Address (Not mailing address) [- Flood [- Fire [- I 2�2-7 F3A art D12 1� ascription of Work Use F Const Type F PA-C2:11►'N-�, F(U P T l N h POCK [ZPLALA�W ON N 0 o crt New/AddSFI — # Stories # Units (if Res)j Wot'zi�- P_ 120?0� Valuation $ Remodel SFF Garage/New/Add �Material/Labor[Zt tom OWNER'S NAME Lastl Firstl Gr1ay Owner's Address Owner's E-mail Address City vN'v (- State I ' Zip q-T(Q2rj TelephoneF APPLICANT'S NAME Last MOVALES Applicant's Address MAR-ISSffi � SV� 1 i'1 SL-t ►��k5 • Gc�t'Vl City I.N65Tiv, .'N �}2 State I V ARCHITECT/DESIGNER'S NAME Last Architect/Designer's Address City State F_ First ) _W1 �_v Applicant's E-mail Address toil INWST42y wN Zip q� (O253 Telephone aq�j , 31 z1 First Lic. No. �— Architect/Designer's E-mail Address Zip F TelephoneF ENGINEER'S NAME Last First pu Vt� V Lic No. % j(pl i Engineer's Address Engineer's E-mail Address Z�l�ol Gast���Gfi P-('�TI�✓©P�v��-�.c��n City6VN� 1��bVGL� State I " Zip R21o1� Telephone 11�1I�•12 CONTRACTOR'S NAME/COMPANY SW1 &UEi Pi Lic. No. iq Orj Class Contractor's Address Contractors E-mail Address City SETBACKS REAR SETBACKS LEFT Slate Zip F Telephone SETBACKS FRONT SETBACKS RIGHT PERMIT NO. M0/ 0 D' 7 PLAN CHECK NO. %QC iU U .Q S 3 USE ZONE DEVELOPMENT NO PLAN CHECK FEES $