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Home My WebLink AboutX2014-3145 - Permit ApplicationX2DI�(- 315 Print Form ' Worksheet for Combo Building & Solar Permit Application0`6IR Comm'I (Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL �uilding Grading Drainage r Elec ( Meth r Plum cued ut $4_S CuVdFill U Project Address (Not mailing address) F_ Flood r Fire r Liq Landslide F /A Floor \M, L}Oq m soult Te'1R.Rmz , C.> t -K I CA 9z62s- F F Description of Work T�C—LC h1SY'W ct r E,,, tan N54 ;-- JToL4 gRS ' � 4NRAt-JE Use �V \ i$ I F 7!/ Gonst Typ e V 11 Vl_zi RCGWt Rocrtl {d tCNFT1 E90CIbC r e1A�Y 191�I1 bPPtilf # Stories # Units (if Res)s rn+WrtN — ► $9 8F u�gpjp�E A' - t 3; _ 1'24l SF Boa _ �! s� F1 e Add 5F Remodel SF I ara e/ w/Add i i141 c Valuation $, Materiav- ,- I r 1 t OWNER'S NAME Last �E1J _ First Jt—:.PF--r l Owner's Address Owner's E-mail Address State Zip �%, Telephone City I C.PKR 9.�3�.4969 APPLICANT'S NAME Last $g,/,��p First aF-1%T0P j,EV_ Applicant's Address Applicant's E-mail Address M141 A�VE.r$t-�9 l -i©2 �,rts�brandon�c{�tiecEs.t_oM City I CQ$ k NA)MllF State I CA _ Zip qj.1 ')-6 Telephone jl4•:S4 • g04C1 ARCHITECT/DESIGNER'S NAME Last ,5W<kim-4 First I cAlPA-4 Lic. No. Ic Architect/Designer's Address Architect/Designer's E-mail Address 3001 -F-t'D •Ntu— ,AVE./cxtris&6fmru4onra.jr&,te_LL%-coax City I czs-rk Mem, State F6't zip F9242Lp Telephone IM :1-S4. 040 ENGINEER'S NAME Last I Int S� l First I t;nt op Lic. No. C,Aj(o$q 6 Engineer's Address Engineer's E-mail Address 1%60 z - IV1, c '- FA _IiAf`sDei�E%IFM-eiC_00� City ept},[j'� �,1, State I �" Zip q _ Telephone - 44 4 • n s • Z�IC�('� CONTRACTOR'S NAME/COMPANY Df-� !Rollft�ON Lic. No. I Class Fftr YsnN WSTOM +4bmes Contractor's Address Contractor's E-mail Address is C.O jzPOR WE! PLA* -A r �"M • 1SM City I WEWPp9-1- ZEf.K State ^ Zip 9 x(00 Telephone i � • i-23 . 1 -300 6 f SETBACKS REAR SETBACKS FRONT PERMIT N0. �� k � p i pp SETBACi:S LEFT SETBACKS RIGHT PLAN CHECK NO. L USE ZONE DEVELOPMENT NO PLAN CHECK FEES 11 4.