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HomeMy WebLinkAboutXR2023-0689 - Permit ApplicationPrint Form _I WOrksheet for Combo Building & Solar Permit Applioeattion (WIM [ Comm'I /Residential City of Newport Beach - Building Divisions NOTE: PLAN CHECK FEES DUE AT TIME OF sl IRMITTAI i PBuilding [ Grading [Drainage j- Elec F_ Mech Plum I� Cu Yd Cut Cu Yd Fill - - LLL Project Address (Not mauling address) [ Flood F_. Fire [_ Liq [ Landslide [N/A Floor Suite No Zoo Z Ho o-i !)A, R o , F77 Description of Work Use - ConstTypeF INT. Iztrnnat �C- � R�ao>J�IG��� RATH4noM L.AYOv i # StoriesT # Units (if Res)_ New/Add SF- Remodel SF 338 - Garage/New/Add -Valuatn teraldor50DOO�' OWNER'S NAME Last DEp-M6VNr First Owner's Address Owner's E-mail Address City N wF�kt__,�EAGN ------ State ___--- ZIP §2 Telephone�j+�q _ iZ_9173 APPLICANT'S NAME Last First t C. Applicant's Address Applicant's E-mail Address -28 1, a ri _cenn city At,15,� yOGz© State 7A. Zip g2(n'j6 Telephoned q _Zqp _qd ARCHITECT/DESIGNER'S NAME Last First �— Lic. No. F— ArchitectlDesigner's Address ArrrchitectlDesigner's E-mail Address City State �— zip ENGINEER'S NAME Last �(�q (jN 1 First FH CIR Lic. No. F — Engineer's Address Engineer's E-mail Address LlZ CHAPMAQ 5W E D City QElla-IGE State CA ZIP Telephone `j1H-0197_ l4 _ _ _ ._. _q_zs_�6 f a CONTRACTOR'S NAME/COMPANY rP_I VLsf R L Lic. No. R6 �R, - - _�J (_ _R ti C • �� 7 t Class `� S Contractor's Address Contractor's E-mail Address 28 EVCNInt(n LtClt t i _ RwTRlV _z5T9YAHo0,Co,Lm City /-ot-k_SO ylElm - State CA Zip Telephone 9 L(q_ 296 - 90 15 SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $