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HomeMy WebLinkAboutX2020-2902 - Permit Application (2)Print Forn Worksheet for Combo Building & Solar Permit Application EWPp F Comm'I r Residential City of Newport Beach - Building Division Xlw 2 0 - 27 0 2, NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL uilding j Grading ( Drainage ( Elec j—Mech Plum`— CuCU Yd Cut rj Cu Yd Filll Project Address (Not mailing address 1 Flood ) � Fire r' Liq ) Landslide [�N/A p� Suite No Description of Work /K '753 Use; Const Type v, cf� Gpjjc� qe _ �YL��� y� 5� # StoriesF # Units (if Res)r— New/Add SF _7S 1Remodel SF !?cz� Fj% Garage/New/Add [— Valuation $ O (i/' Material/Labor OWNER'S NAME Last y�y -- �f�9(LG�zI - MSC Owner's Address First Owner's E-mail Addres L �— s City X4,c� �� �"��1 State I�--y—q--- -- - --I U' Zip F t;�vr,-3 Telephon�(�/---�—� --_ - APPLICANT'S NAME S Last Z/�l�p„� First Applicant's Address - Applicant's E-mail Address 231iv z�� IJy�Lff City /dui Stat GGT / e Zip Telephone ARCHITECT/DESIGNER'S NAME — -- Last ��! $pN First CJ�7/� Architect/Designer's Address - - - _- Lic. N ec_/-�'7i 23 �� Architect/Designer's E-mail AddressG�r� City ft���- %��11 State Zip Telephone ENGINEER'S NAME Last �Ti�2 - First Lic No. Engineer's Address • T Engineer's E-mail Address hOt� State F— � Zip (o� Telephone?r�p_Z7%_�Z�S� CONTRACTOR'S NAMELCOMPANY .r�anlj.Lic.No. 1�(�{C Class[ Contractor's Address 30cC) MElp-cv S Contractor's E-mail Address '�v� city t/1F i�S �� I�L.a1 1�\C.(� state L,9 Zipgz�7b� Telephone'��-( SETBACKS REAR �V SETBACKS FRONT PERMIT NO, SETBACKS LEFT ��NNNTL ____ SETBACKS RIGHT y PLAN CHECK USE ZONE '—'---- DEVELOPMENT NO , 6&0 I PLAN CHECK FEES $