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HomeMy WebLinkAboutX2019-1758 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application , r Comm'I r Residential City of Newport Beach - Building Division xZ o Iq. 11S8 0, NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 5,.. . rj6uilding F_ Grading rDrainage F/Elec rMech rplum CuvdCut F_ CuvdFill Project Addresns/ (Not mailing address) r– lood r Fire r- Liq r" Landslide rN/A Floor Suite No Description of Work : Hrj lit s.i'� Use F—ConstType F_ (�4 �It (arc �IZl �t Meas 6 2 r/ #Stories #Units (if Res) uJ P.w� P�tf. ATS 1 Valuation $ Material/Labor New/Add SFF Remodel SFF— Garage/New/Add �— OWNER'S NAME Last G / G14 Qpa,.e ,,erst CI,' LSG� Owner's Address Owner's E-mail Address -Z, a66 City it/ u i �p pC �e State Zip( G -r Telephone _7 r`(` . ¢34(.C(/ o, APPLICANT'S NAME Last First First Applicant's Address Applicant's E-mail Address Cm" city City 61evy(,1ra f State Fa ff Zip q;/LZ elephone ARCHITECT/DESIGNER'S NAME Last lj y,j First �! ( Lic. No. j l Architect/Designer's Address Architect/Designees E-mail Address City � °�/ VA 4&y, State Zip �AC7a 15 Telephone ��. ENGINEER'S NAME Last First ��.© Lic. No. Engineer's Addrea�s L Engineers E-mail Address �� VVV1. Eng City �i�{�C� v� State FO Zip YL((zt TelephonerCONTRACTOR'S NAME/COMPANY i"1 �, 1� �� y�� ,1 \ Lic. No. ?(Ji Class / � C �/ C �V�/ t� Contractor's Address CCofntractor's E-mail Address 60 N I tJ d,V l Sap) Q crit S a501J , Cir'' Ciiyg�� i� J U State � Zip �Z(, Telephone G SETBACKS REAR SETBACKS FRONT PERMIT NO. 4Z�o �C/L ` 75 Q SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.Zo USE ZONE DEVELOPMENT NO PLAN CHECK FEES $