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HomeMy WebLinkAboutX2019-3675 - Permit Application�� hLV6�1 ®9� (5 1735 Westc-J"FF D✓ Print Form Worksheet for Combo Building & Solar Permit Application ZEW OT R/Comm'I j- Residential City of Newport Beach - Building Division z NIOTP- of Ani nUvn] mom.. ._"'_' ..__-.. --..-_._. -------- vi oyorvIII IML \G��/ [Building r; Grading ;Drainage f7 Elec rMech F!Plum Cu Yd Cut Cu Yd Fill `J F r Liq [_—J Landslide �!N/A Project Address (Not mailing address) F-, Flood f—,; Fire F� Suite No 1�3S-we6t�l;'t7s �1/�port BeAc.f,r CR `tq,6617 �:rri I33� --- Description of Work Use Const Type F # StoriesF # Units (if Res)7I T°v%i0Z91��rv� foc''wrea�$/cL aslr shg%� \,34S O -I -W ��� C `Q n New/Add SF �' Re od I S L____._ _i r Garage/New/Add J Valuation a Material/Labor OWNER'S NAME Last /ff}(L(?jv}F S h`ORk First AL.Z Owner's Address Owner's E-mail Address 3 hvir,�/or J, Zrv�n ,-Cq - - -------J pCShoar� cuncre era } � City _�r'vii�.� -_- State C�ffl- -:ci c� Zip 9` _il Telephone 9�Ic%i�Sfj- C.ac2 APPLICANT'S NAME Last 5#AP_8,4.c 51164, First ALT --- -- Applicant's Address - _ - ---- Applicant's E-mail Address 63 �/a /off as/,eeu.i- 4rric, ctecra• City .L t ✓ojl'e - _ _..- . ..- _. State F5F__..-.. Zip ���lo© Telephone Com/ ;;1 lc ARCHITECT/DESIGNER'S NAME Last (�yl�ynr[ 1Z) -P_6 iqqh l Fust Lic. No. �(Q SQ Architect/Designer's Address Architect/Designer's E-mail Address --- bcode-si yyiere S&cylab�c onPi -- city/W5//n� /nt (�` r -- ..f H -NA State .I " r ZIP Telephone�LJill ENGINEER'S NAME Last � R� �fi F First K MALL Lic. No. Engineer's Address Engineer's E-mail Address city State r'—�-- ZIP (--�- Tale phona , CONTRACTOR'S NAME/COMPANY (oncre-te cr?7,r " 0 CC&k ! C¢,4rei Lic. No. /Qygs�r3 Class Contractor's Address Qreq-nse_ cecnfy Contractor's E-mail Address 167557 VO4 kCtrM[_n Avg, STt✓ aoo CCS OCCi'� Ccrlev 2C� oL • C�� city 7JeV ��% � /' - --- - - 4 State I r Zip ga6lti� Telephone ��{�il�vrs� q SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK N0. a ' a(� USE ZONE DEVELOPMENT NO PLAN CHECK FEES $