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HomeMy WebLinkAboutPV2020-008 - Permit Application (2)Pnnf Form Worksheet for Combo Building & Solar Permit Application (�(& zt-1F Comm 1 I— Residential City of Newport Beach - Building Divisionc" O0. _�NOTE: PLAN CHECK FEES DUE AT TIME. OF SUBMITTAL FBuIdnrading F-Drainage I-Elec F_Mech r plum Cu Yd Cutl cu Yd Fill ss (Not retailing address) F_ Flood [7 Fire Liq [7 Landslide FN/A Floor _ Suite No Description of Work Use F— ConstType F: , l h .e sr-�Y� , # 5tories # Units (if Res) New/Add SFF_ Remodel SF�� Valuation jj O / - Garage/New/Add Material/Labor bor l i rOWneesAddress Last �cc� First Owner's E-mail Address � ��,�- State (� _ ZAP X2625 Telephone 2c:X -ir 110 APPLICANT'S NAME Last First Applicant's Address Applicant's E City �� 'State F ZipF— Telephone- ARCHITECT/DESIGNER'S NAME Last First F Lic No. ArchitecNDesigner's Address ArchitecUDesigner's E-mail Address city State ZIP r Telephone , ENGINEER'S NAME Last First Lic. No.�� -.__. Engineer's Address Engineer's E-mail Address �,. City -_ State �� ZIP � Telephoner� � I CONTRACTOR'S NAME/COMPANY^ es(CE Lic. No. �" 10t, Class It `1 Contractor's Address Contractor's E-mail Address 2�� 2 t-01 d01Cw % 7 5 vt i re 13 7Cv cuTC> > G�5(C , C� City T Y.'V t � State G1 Zip q9— Telephone 0 I SETBACKS REAR SETBACKS FRONT PERMIT NO. �1JJ,- ,)'_? _ SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. L �, I USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ ""�