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HomeMy WebLinkAboutPV2020-194 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application o�`w° (— Comm'I r', Residential City of Newport Beach -Building Division �7P NOTE- Pi AN r.HFrK FEES DUE AT TIME OF SUBMITTAL �7 r—Building[,Grading rDrainage Pec rMech r- Plum Cu Yd Cut Cu yd rill F',. j Address (Not mailing address) r Flood r. Fire Liq r Landslide rN/A — Project Addr Floor Suite o Ave. d �t�P�;f�f_ ,cl�o�, t � Description of b p kv (�C� kw ') �V ,-v e Use F— Const Type #Stories' #Units (if Res), rWork t `AA 1a' C ( �-Wf r�e� l r C� 1,1 �i'u ! Valuation S Material/Labor 7/ 670() C) New/Add SF�— Remodel SFF— Garage/New/Add F_ IF — —111 -- OWNER'S NAME Last / First ) CAM l00 Owner's Address Owner's E-mail Address �/���V �"71��'_I.✓tel y eco City /:-V..�V� C�G..�._ I 1�1�6� �/1. State �-... f Zip -1 .6 �„� TelephonegL(t(..�+��1}' `�() � U vFirst APPLICANT'S NAME Lash -- ` C Applicant sAddress Applicant's E -mai Address �� pp City ��{' Zip �}' _� Telephone 5 .. t �.�� �� � [� ],i�/ State ARCHITECT/DESIGNER'S NAME Last �— First—', Lic. No. F_' Architect/Designer's Address Architect/Designer's E-mail Address City I _ State F Zip F Telephoner ' ENGINEER'S NAME Last �— First I — Lic. No.F_ Engineer's Address Engineer's E-mail Address City �—.... State F_—. Zip— TelephoneF_ CONTRACTOR'S NAME/COMPANY ryry,, ? /' Lic. No. C r Class I C lqj� Contractor's Address Contractor's E-mail Address city t�lt�"' StateI / 01 Zip �(;%V Telephone] �✓(''� f �l'L�v �� \ SETBACKS REAR SETBACKS FRONT PERMIT NO. �I `SETBACKS LEFT SETBACKS RIGHT PLAN CHECK N `far S • '�O SE ZONE DEVELOPMENT NO PLAN CHECK FEES $