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HomeMy WebLinkAboutX2019-1027 - Permit ApplicationXZ01 102'1 R ii t orm W ks"et for Combo Building & Solar Permit Application o�EW� omm'I [—i ResidentiAl V�1 City of Newport Beach - Building Division o 1 NNN ! NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 5<�ow•" wilding j�',Grading rainage XElec �1ech -K,, PIum cuvdcucF EuvdFill �, Project Address (Not mailing address) (-' Flood [ Fire r Liq r; Landslid (A�Floor Suite No 1-'G747 RbUND �- Description of Work ( t) Use onstType [� V Stories I # Units (if 134T Valuation New/Add SF �- Remo SF 1 Gara9 lva-1! 0 ` r� a/New/Add I Material/Labor 6 OWNER'S NAME Last.-.�g, ��-yyJ First .......'...Gt7El�. GI✓67�'.. Owner's Address Owner's E-mail Address 110 ��[jj_NNoV_�TIoN�gqec}gre�� city State State �, ,{o�u�tPar��t��..cro/��n Zip 1j Telepho �`P.'.I. �!-v^"/DS.I. APPLICANT'S NAME LastFmTrp_c�;jpN First Applicant's Address Applicant's E-mail Address , �"ersari@�IrdevSav�.u� City GQGI- �s� �, State G .. Zip ///�,,,i����///���a Gj� ,r Telephon f ARCHITECT/DESIGNER'S NAME Last r2ELL,6% (Z�jI First I� �.l= N Lic. No. GZ((y?J- Z Architect/Designer's Address /i1d R(iEGl2S �'SRG}{ . E-mail Address IArchitect/Designer's r tin_�2��GlVx4vn-4.��oa✓eiR�S City r... State Zip �— Telephoned ENGINEER'S NAME Last First F— Lic No.F.. Engineer's Address Engineer's E-mail Address City State F Zip Telephone CONTRACTOR'S NAME/COMPANY D ,�� Lic.No. �����Ip.� Class Contractor's Address Contractor's E-mail Address 3ooa Doul A�� bc+�a w, City I `I State C�. Zip Q?,9,R� Telephone q 4 q a -a( SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. FW` USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ M_ .�