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HomeMy WebLinkAboutX2022-0200 - Permit ApplicationK 2022- 02-00 Worksheet for Combo Building & Solar Permit Application Comm'I r Residential City of Newport Beach - Building Division r NnTF• Pl AN r.HFr:K FEES DUE AT TIME OF SUBMITTAL [-Building r-GradingrDrainage r-Elec F-Mech r- Plum Cu Yd Cut Cu Yd Fill Project Address (Not mailing address) r- Flood i- Fire r Liq r- Landslide I _N/A Floor Suite Nr Description of Work Use F Const Type F # Storiesi 2 # Units (if Res)r7 cr✓�© Valuation$F9 Material/Labor ? New/Add SF[ Remodel SF�- Garage/New/Add �- OWNER'S NAME Last I IV ASW (-SOP -T- L' 7_,%,S'V First Owner's Address 14v t Owner's E-mail Address f� City —^ - _ State � - _ _ ZipF91 ! Telephone 949 �r D2 l APPLICANTS NAME Last First Applicants Address Applicant's E-mail Address 12 (,C-NtvtA\,�fi e� city /\ State Zip 91 -7D� Telephone �J / 1 I i Lt ARCHITECT/DESIGNER'S NAME Last First Lic. No. �- Arch tect/Designer's Address Architect(Designer's E-mail Address City State �— Zip �— TelephoneF ENGINEER'S NAME Last X r {�(� Firstr l�(� IBJ Lic. No. Sj7L. g_g Engineer's Address Engineer's E-mail Address City � 1' .P- PN`V State i Zip I I IT7 D Telephone j I Lt l 2 v� rr D CONTRACTOR'SNAME/COMPANYJ(IAIJ�sI)C. StvvV,�V1, 6DNS1 Lic.No.(�'S-_"0 Class Contractor's Address Contractor's E-mail Address I 1.�� 42 C.d,.NL., o iiv i�� `fit 1 �yx 'Vye,-"r Zip CrtyjNTIaN -. State 1rj7'Js Telephone l`j1jp 5� SETBACKS REAR SETBACKS FRONT SETBACKS LEFT SETBACKS RIGHT PERMIT NO. X'y✓y PLAN CHECK NO. USE ZONE DEVELOPMENT NO — PLAN CHECK FEES $