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Home My WebLink AboutX2018-0473 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application ��EWro F- Comm'I Residential City of Newport Beach - Building Division o a NOTE' PLAN CHECK FEES DUE AT TIME OF SUBMITTAL F -Building FGrading rDrainage �/-Elec r�lbiech r'-JA/Urn Cu Yd Cut Cu yd PNF_ Project Address (Not mailing address) F_ Flood r Fire F_ Liq F_ Landslide FN/A Floor suite No F F-- IAO l LANE _ _ _ _ _ Description of Work Use F_ Const Type F_ # Stories[—#Units (if Res)s / \ co 4/L S wm C��e�' ey�a �5ivn I Valuation $ Material/Labor �' /�' th New/Add SF a J� Remodel SF�- Garage/New/Add OWNER'S NAME Last G14 First d7_5P40 Owners Address - Owner's E-mail Address Mo) De /„ AAI )e 5W rt5ch 0 p�Cb�il . fie4- ,L, I� City I_. �C-Y.TbAc: 00-74 d -),L State ZiP I Telephone a/P p,7. APPLICANT'S NAME Last C%� First 6,E wcA) Applicant's Address Applicant's E-mail Address /901 Dc�fw r -k&.> City N�-1�P8 �l�f�pj}. State gne'f Zip ,'(o(p(J Telephone I aL,� ARCHITECT/DESIGNER'S NAME Last j M C� First `lin . r� ry� Lic. No. Wr rte- i Architect/Designers Address Architect/Designerrss E-mail Address jj viDrv1D3 owt �,� (✓EjffEF2 Ire�T I � Y)1lC(�AELD�s;GQr75© Mw'L. ea�rt j State City 15/ 1-0 t 5/ Q'. [ •/ Zip ga�. Telephone q".(.ire ENGINEER'S NAME Last Klf First AIA #D j. Lic. No. 6 Engineers Address &AJA'AJ =: -Xi (/ tiiC � Engineers E-mail Address vv40,X I�oZO 8VPPkAai[oW dT V #jAhd,(®AatveA&.Lom. City ��-- .... _ State �— ZIP c�a� �/p.j Telephone CONTRACTOR'SNAME/COMPANY �Z �Lzs/Y evd Lic. No. g7/akg Class Contractors Address Contractor's E-mail Address City c..ia',•a_.�h-��_ State •_. _ _ Zip "p276)r Telephone �71t�-'f�'1-�r413 SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT" SETBACKS RIGHT PLAN CHECK NO. ) L'10 USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ I? 6 W 4v—.