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HomeMy WebLinkAboutX2019-2449 - Permit ApplicationWorksheet for Combo Building Solar Perm l Ac I Residential City of Newport Beach -Building Division ppliCa$(OIT z �EWa��� NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL as .I Building F Grading Draina a � 9 i` Elec i` -Meth i" plum Cu rd cuel Yd mailing addres§) I` Flood Fire Cur Project Address ( F Liq j Landslide F`N/A Floor rSuite No Description of Work {v..- Use l Const Type �.. / 2ke- .. # Stories # Units ( i� �y� if Res) New/Add SFF' Remodel SFF�' .Garage/New/Add rY � Valuation $ OWNER'S NAME - ( Material/Labor;u- ' / �irCCC e- First �,p,.r,,,y GLLFirst� Owner's Address "_o -" Owner's E-mail Address City A /7� State ��`�'��C—�- - �- -- / `-E - ' " ZIP FI t,[, v Telephonel` ­� APPLICANT'S NAME i Last 7 Applicant's Address First(__4 Applicant's E-mail Address Cit y L ....��G..� r;✓gin. State. % // Zip� i -- . Tele ARCHITECT/DESIGNER'S NAME - �l Phone 0 ;' ) r,o loe l,p`1 `� Last F- ArchitecVDesigner's Andress First F_� Lit No. ArchitecUDesigner's E-mail Address City I State Zip Telephone�� ENGINEER'S NAME Last FirstG'1.� Engineer's Address Lit No. S __ , 9 En ineer's E-mail Address it . 7Y�1 City /,��., K��e�lq Ar,� :�r�o ,-� Tele Z-7/O�")'%-%�`fs State GI 7, P zi G1 !:'.� l✓ � �% phone CONTRACTOR'S NAMEXOMPANY y'rt.�s �%> siye �. Contractor'sAddress �"",%'"'`� lnr..,,; Llc.No. Classl _-- i Contractor's E-mail Address City�f� 1 f c....<.- U. State Zip Zi Telephone �<-�--..�-- I 1`"'I ) 1) cltr l�r`i SETBACKS REAR SETBACKS FRONT f SETBACKS,LEFTSETBACKS RRIGHTtPERMIT NO. 'X77}_)qg r USE ZONE -- PLAN CHECK N0. DEVELOPMENT NO ----- PLAN CHECK FEES $ 'o f