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HomeMy WebLinkAboutX2014-1867 - Permit Application1 Print Form Worksheet for Combo Building & Solar Permit Application Comm'I r Residential City of Newport Beach - Building Division ninTP PIAN CHECK FEES DUE AT TIME OF SUBMITTAL wilding r Grading rDrainag �Ele Mec PI m Cu Yd Cut Cu Yd Fill Project Address (Not mailing address) r' Flood r Fire j- Liq r" Landslide F_N/A Floor Suite No Description of Work Use ConstType' omyqfb)r#Ste, Units (if Res ; Gl36, 6tValua New/Add5 Remodcl.,v Garage/New/Add ion Mater „ OWNER'S NAME Last , M r�rIG Firstl (j Owner's Address Owner's E-mail Address • �, `,� //• _ 7a_2. maT4 S7-. ' - 21 b- City /_? t,i' <' i}t/ 'State j*s .Zip... — Telephone 7Z s3.3"�:_2,o P LICANT'SNAME Last`iL/'�`— Firstf �„(;j _ Applicant's Address. Applicant's E-mail Address �.,ICJav� City 11 ,,.x/ State �j�— Zip 1/) j) I Tel one t -40 -<�Og<2 ARCHITECT/DESIGNER'S NAME LeatfV Isk) FirstF76;P)' Lic..N0 .�� Architect/Designer's Address Architect/Designer's E-mail Address Rq4 ii City G�— Zip 1© Telephon� ( vii .State ENGINEER'S NAMELast j, \ First i Lic. No.�e ,. W Engineers Address Engineer's E-mail Addre ) .... i� City s; . . State Zip Tee one AI� �5 CONTRACTOR'S NAME/COMPANY P Lic. No.986e Class 4/� Contractors Address Contractor's E-mail Address 33ia A4 09 L:9 V4t(e, Surk L M l�lluayyrovu�w�Cnaric� . Cowes __ I City DC+r... State—; Zip-/Zr'J.�S... Telepftone 76d-.7ZZ-{j pOoZ .SETBACKS REAR SETBACKS FRONT PERMIT NO, 0^ SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO! 4 USE ZONE PLAN CHECK FEES $ J 110 DEVELOPMENT NO TV61 I - ] / I zz�� 3)