HomeMy WebLinkAboutXC2024-0107 - Permit ApplicationPrfnt Fo m Worksheet for Combo Building & Solar Permit Application G-R-10Comm'I rl Residential City of Newport Beach - Building Division NOTE' Pt AN CHECK FFF.0 fll IF GT TIMF nG CI tansirrnI
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Project Address (Not Irsa7loreg address) [Flood Fire Liq FI Landslide F- Floor Suite No
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Description of Work -/
Use t7'_ItVonstType WNK
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8 Stories # Units (if Res)
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Valuation $ r
New/Add SF �Remodel �' Garage/New/Add E Material/Labor i emoSF -L 1.SV i
OWNER'S NAME Last Fl, - —W����—� rj]�/cI First
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Owner's Address
Owner's E-mail Address
Telephone
City _�� _ State —I Zip0—affill
APPLICANT'S NAME Last-_----_-____--__ First
Applicant's Address Applicant's E-mail Address
))'�LL'' State p Telephone •- Z•�_ �::�
City ----0 k--A 1((s--- ---- —� ---' zip )i
ARCHITECT/DESIGNER'S NAME Last /� 71 I
--Nth h F' K --- First 1 I,(� Lic- No. G Gl
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r Architect/Designer's Address
Architect/Designer's E-mail Address
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City �J�V✓G ,� j State Zip G'Z �� Telephone
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ENGINEER'S NAME Last i First Lic. No.
Engineers Address Engineer's E-mail Address
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City - State Zip I Telephone i
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CONTRACTOR'S NAME/COMPANY �/ � h� � MII f�j j Lic. No. I Class
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Contractor's Address Contractor's E-mail Address
City State Zip Telephonej�
SETBACKS REAR SETBACKS FRONT PERMIT NO. XC OU-OI0 7
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. FC24Z
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $