HomeMy WebLinkAboutX2019-0405 - Permit Application_ m 6orkC het for Combo Building & Solar Permit application
City of Newport Beach - Building Division vZOl j - ®�i V6
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Project Address (Blot mail
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Description of Work
address) r Flood r Fire i-" Liq r Landslide
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rN/A Floor Suite No
Use ,I;�6t,;,,ConstType
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# Stories4 # Units (if P,es)F-
- .�.IValuation$
New/AddSF� Remodel SFF--� Garage/New/Add Material/Labor
OWNER'S NAME Last I _rl flj — IPV First
Owner's Address Owner's E-mail Address
City F_-, ll�, �/iAlt'� State �. Zip `I. L (1 t 7 Te
APPLICANT'S NAME Last
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Applicant's Address
city �f',�rJ � State C'k zip
ARCHITECT/DESIGNER'S NAME Last l l:' ��i� I-Grr�
Architect/Designer's Address
First
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Applicant's E-mail Address
6t Le )J' l
Telephone �::..2.
First Lic. No.
Architect/Designer's E-mail Address
City .mss/ e'" C' State Zip G-Z�"`C/ Telephone �'
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ENGINEER'S NAME Last
Engineer's Address
City
First
Engineer's E-mail Address
State F_J zip �— TelephoneF_
Lic. No. 7—
CONTRACTOR'S NAME/COMPANY NaV 00I l00 I d f s Lic No. �Z,Oj O I Class
Contractor's Address
2(9Gfy-ChV(J!L?jt, 5(A1`t L --
city
-City I j, wi 'r e. State 1614
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USE ZONE DEVELOPMENT NO
Contractor's E-mail Address
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ZiP 9)ZS Telephone ql q, %q_
PERMIT NO.yA, \C� o o Lt 05
PLAN CHECK NO. (,` �Y
PLAN CHECK FEES $