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HomeMy WebLinkAboutPV2018-158 - Permit ApplicationRrint Form Work heet for Combo Building & Solar Permit Application ❑ Comm'I ❑ Residential City of Newport Beach - Building Division PVX18- 15F NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL ❑Building E] Grading Wrainage ❑Elec ❑Meth E] Plum CuvdCut F7CuvdFillF7 Project Address (Not mailing address) ❑ Flood [7Fire r7Liq ❑ Landslide N/A Floor Suite No 2'32 I Description of Work Use Const Type' # Stories[9 1# Units (if R C 6 avi ( 1 2Z Nl 1� lcp Valuation $ Material/Labor LLL111r 1�� %roc �eRl'j oE,i IIVVew/Ad F Remodel C rn / F Garage ew Add OWNER'S NAME Last pr/� First Owner's Address Owner's E-mail Address CityRState 1 iyvaV Zip 2 `L Telepoe H hn_ -2 APPLICANT'S NAME Last First Applicant's Address Applicant's E-mail(Address Wr City ' J,,�,e t uuu�-=r State F Zip Telephone nj II����III ARCHITECT/DESIGNER'S NAME Last L_ 7 First Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City State F-1 Zip�" Telephone ENGINEER'S NAME Last \J\ /0 First iy fj LA Lic. No.�j Engineer's Address Engineer's E-mail Address L(GA Salm LUQ gar lIG ;l� City S -- <-� State C Zip 1 7 (� Telephone(;26_ 3 75/ 6 IClr� CONTRACTOR'S NAME/COMPANY In' Lic. No. ass Z QkV1� Y wi��/"—� Contractor's Address Contractor's E-mail Address 6. "tc CD -7I1 -A "—- ]L, - City C� S��'�_I, - -- --- State Zip FC( Telephone - �-C- — �JG SETBACKS REAR SETBACKS FRONT PERMIT NO. L Y` SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. r,) s L % ,� USE ZONE DEVELOPMENT NO r ' (61✓ 'PLAN CHECK FEES