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HomeMy WebLinkAboutX2018-1150 - Permit ApplicationP W(u �P`K4A j I d Works e t for Combo Building & Solar Permit Application Com 'I I Residential f ��C/ City of Newport Beach - Building Division - NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL j Building ! Grading nage )KElec Tech >f um Cu Yd Cut Cu Yd Fill j III Project Address (Not mailing address) F7 Flood j— fire J— Liq Landslide NIA Floor Suite No I i � `��_ Sit-tiT�N-�►�� 1���-�-� � � i Description of Worker p .0 rZ C, V � Const Type I r`�y�— , # Stories) I # Units (if Res)F— Valuation $ pu] oo-L Material/Labor` i �Z�p.ep Tf New/AddSFe model Garage/New/Add 60L, Ffouse 6AiZ, OWNER'S NAME Last j MA- CL,&__0 fl First, b A V tt �5`i71 S'd,E(.1.6R:. : � Owner's Address eo ��'��Ownefs E-mai6Address ! p�k01DwsAc o0(2 40L cevv,% City) E w (ne+ j..C:�-� �, State CA ' ... Zip C( Telephonei '7 ( Z"Zl ^ APPLICANTS NAME Last First! RAF-(L>� Applicant's Address - - Applicants. E-mail Address City � �3`y "�-Fakcf�...State I CA.r Trp -��)_ X Telephone `71 ?6_6748 rCs T� J1 AREtf{#EKJDESIGNER'S NAME --- Last d c First; UZ Lic. No. Archite Oes,g Alr>essftP P (A C JjIyN "f_ er Architect/Designer's E-mail Address city State Gh,. Zip G Telephoner— ENGINEER'S NAME� 2 / V A C Last� _ V. _ First�����.rj'j'j�.A Lic.No.l.'3'�2�{ Engineer's Address. Engineer's E-mail Address city State LI (j Zip igz6 Telephone!. 7 CONTRACTOR'S NAME/COMPANY r— Lic No. i ' afs.,_/ z � (3%C�`72Z Classf Contractor's Address . Contractor's E-mail Address. — cCitty State I G ° Zip Telephone %:14;F8D SETBACKS REAR %®� SETBACKS FRONT JI PERMITNO..c�`C�j„t15®/ltl�`O! SETBACKS LEFT SETBACKS RIGHT PLAN CHECK N10. USE'ZONE DEVELOPMENT NO PLAN CHECK FEES 3 _ _