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HomeMy WebLinkAboutX2017-1111 - Permit Applicationxro��-ll<s Worksheet for Combo'Building & Solar Permit Application Comm'I j—✓(tesidential City of Newport Beach - Building Division NOTE PLAN CHECK FEES DUE AT TIME OF SUBMITTAL r ilding Grading j— rainage F Eiec j% ch F�um cuvdcut cuv Fin Project Address (Not mailing address) C Flood F- Fire F_ Liq r Landsl' e Fv /A Floor (-Suite—No I Description of Work Use onstType N vi # Stories # Units (if Res)F_ Valuation New/Add , SF Remodel SF�— Garage/New/Add Material/Labor SI QUr\ OWNER'S NAME Last I Owner's Address F-1 ey IN city F J:� N (�S Qj,6,Z`A State APPLICANT'S NAME Last Applicant's Address Cors d�Sz'�iZS ���2��-L city State I U� ARCHITECTlDESIGNER'S NAME Last Architect/Designer's Address City I U(l State First LzJlCtjl��`f Z i TYLEi Owner's E-mail Address �w Zipj Telephone HOZ 3 UL First 1 Applicant's E-mail Address NCw tks�(�_ Q (�_, OqNs i �''m Zip _ 21 Telephone 7i5-,S- First ss FirstI Lic. No. �— Architect/Designees E-mail Address Zip (�' Telephoner QI ENGINEER'S NAME LastFirst Lic, No.�— 5)�4N<, As NR twi Engineer's Address Engineers E-mail Address 3 City State �— Zip t Telephone CONTRACTOR'S NAMEICOMPANY 1 f 5 '� N s C � T�4,� Lic. No. Class Contractors Address Contractor's E-mail Address city ( State F— Zip Telephone® SETBACKS REAR SETBACKS FRONT PERMIT NO. X I % SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 0-741-2-0F7 -2-0 USEZONE DEVELOPMENT NO PLAN CHECK FEES b 725 � c c, Pmt (Zk 0-7a1 ,2017 X2017 --/II/ Worksheet for Combo Building & Solar Permit Application Comm'[ j Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 911 [-Building I Grading [—Drainage F_ Elec [- Meth [- Plum Cu Yd cut Cu Yd RIF Project Address (Not mailing address) [- Flood [- Fire (— Liq F- Landslide [—N/A Floor Suite No Description of Work Use F_ Const Type F— # Storiesr— # Units (if Res)F— f�'�� Valuation $ F_— Material/Labors New/Add SF7��( (� )/— �Remodel SF— Garage/New/Add— OWNER'S NAME Last First Owner's Address Owner's E-mail Address City State _ Zip TelephoneF— APPLICANT'S NAME Last First Applicant's Address Applicant's E-mail Address City State � Zip � _ Telephone ARCHITECT/DESIGNER'S NAME Last First Lic. No. �— ArchitecttDesigners Address Architect(Designees E-mail Address City I r State �— Zip I Telephone l— ENGINEER'S NAMELast First �— Lic. No.Fe {Engineer's Address Engineer's E-mail Address 1 r—� City State Zip F— Telephoned CONTRACTOR'5 NAME/COMPANY i L S L t, (�I Lic No. Q) 3 1-1 Class V Contractor's Address Contractor's E-mail Address City CZL State Zip l c1 Z G2� Z Telephone ,' -7 \33 (!/��/ NO. J (�( BACKS REAR SETBACKS FRONT PERMIT S BACKS LEFT SETBACKS RIGHT PLAN CHECK NO. AD USE ZONE DEVELOPMENT NO - PLAvCHECKFEES"