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HomeMy WebLinkAboutPV2021-181 - Permit ApplicationF_ Comm'I [`/Reside Building r1 Grad Project Address °702-Oal✓151(j Description of Work for Combo Building & Solar Permit Application j City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Drainage rElec j— ',Meth F-; Plum CuvdCut F Cu YdFill F_ mailing address)qJI—Alood j! Fire f—,. Liq f— Landslide f_N/A Floor Suite No 3 New/Add SF Remodel SF Garage/New/Add OWNER'S NAME Last Owner's Address First Owner's E-mail Address Use i Const Type # Units (if City F State F�� Telephone[ APPLICANT'S NAME Last �' Applicant's Address �3 3 ,Net,�t�9,h City_ -._..-psi l i 'W State C First Applicant's E-mail Address �j�Pzm c�7%�rcctc�`�'G C�--SroLc+n^. cti,ti�, Zip %2*Z7 Telephone �9_ 326 ARCHITECT/DESIGNER'S NAME Last First Lic. No. Architect/Designer's Address City State (-i ENGINEER'S NAME Last�� r Engineer's Address 2o27(_ 4� t CES City f� State G%} Architect/Designer's E-mail Address Zip Telephoner First Lic. No. Engineer's E -mai dress Cj"t �c�cuelepho cj 04 ZiP /ZGY(e Telephone �J�iCz$S•, Fcdq.. CONTRACTOR'S NAME/COMPANY I 4 Lic. No. Class ej-(c/t Ck Contractor's Address 93 3 City V r U1Su� State/ SETBACKS REAR SETBACKS LEFT USE ZONE SETBACKS FRONT Contractor's E-mail Address Zip % 'Z Telephone 4.{13Cj- e33 SETBACKS RIGHT 7 DEVELOPMENT N Z ` PERMIT NO. 4"\J1U "`)' PLAN CHECK NO. PLAN CHECK FEES