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HomeMy WebLinkAboutX2016-1336 - Permit ApplicationLiu:), D- ► I i ww- woo X 7)ot u - i 331pp'2,01 -cc o Print Form Worksheet for Combo Building & Solar Permit Application oo�s�� Comm'I r Residential City of Newport Beach - Building Division L53,f_;NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL V,7 n i -1 7 (Building I—Grading [—Drainage rElec r'Mech riPlum cuvdCut cuvdFill Project Address (Not mailing address) Flood r Fire rLiq F- Landslide rN/A Floor Suite No q3 Z I Description of Work Use Const Type # Stories�I #Units (if Res) // �/ /- ' 4 (i' /o, EXT D/`J c (T ,QNB ovef 1 f�N aMh^°y\i�1 Valuation $ Material/Labor �dCRJ j New/Add SF� Remodel SF� Garage/New/Add OWNER'S NAME Last', First Owner's Address Owner's E-mail Address City �. _.. State r Zip [—! TelephoneF— APPLICANT'S NAME Last�M-SGN( First ��V...111 III���O JJft'L� _. Applicant's Address Applicant's E-mail Address .I 73LI/0 t cprv57 ACU <_'TU S �C� COM City 7 (JLC'S State C� ZiP . L Z S (5l Telephone qS/ 7S/-76 0 n ARCHITECT/DESIGNER'S NAME Last FirstNo. , Lic. —,' Architect/Designer's Address Architect/Designees E-mail Address City _ State F_. Zip F_— Telephone— ENGINEER'S NAME Last e A O \J �, First5ji/E ' Lic No. �c Z Sllo 1 Engineer's Address Engineer's E-mail Address 30-Z4 A P��'$ 4 tI elv ui City JAC1eN4,,/TCy -9 LJy 5 State jq Zip l/77 . Telephone 6Zia n CONTRACTOR'S NAME/COMPANY P l�� dNNS6� Lic. No. F738VZZ Class J/3 ��n�S QucT�J�"5 I`� W /-P" Contractor's Address Contractor's E-mail Address City '.. I�j �� I Q� State C Zip / 5Ul Telephone �,��– ��� 76 Q SETBACKS REAR - SETBACKS FRONT PERMIT NO. JO & SETBACKS LEF SETBACKS RIGHT USE ZONE PLAN CHECK NO. © 6v& DEVELOPMENT NO PLAN CHECK FEES $