HomeMy WebLinkAboutX2017-1924 - Permit Application�esidential
oeet for Combo Building
�City of Newport BeachComm'I KIOTF- PI AN r HFr.K FFFS DUE
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& Solar Permit Applicatiol0§1
Building Division AT TIME OF SUBMITTAL
FUt ilding F-Gradingainage F_Elec F Mech rPlum cu vd cutF Cu Yd Fill
Project Address (Not mailing address) C Flood Fire F_ Liq F_ LandslideZA Floor Suite No
Description of Work
L
se Const Type -
# Stories #Units (if Res)
1
N
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Valuation $
Material/Labor 2 L�
New/Add SFI Remodel SF Garage/New/Add
OWNER'S NAME Last
�- „�•` I sq:&Z First
Owner's Address
Owner's E-mail Address (I � J.��' �
61
City -
State' _.. Zip Telephone1
APPLICANT'S NAME Last
C l L,/ First i PA„
Applicant's Address
Applicants E-mail Address
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City mac-- •r State I V'�-- zip (�Z�J V. Telephone! �`(5',� $�' p t7
ARCHITECT/DESIGNER'S NAME
Last First Lic. No. j
Architect/Designees Address
- Architect/Designer's E-mail Address
City
State 7—Zip 1 Telephoned
ENGINEER'S NAME Lastil
First I --Dlw Lic. No. (j--] &,Y%
Engineer's Address
- Engineer's E-mail Address
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City A�nC. h ..
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State I-, .. Zip l S�[.slJ Telephones 7/I (�'�O �, 'I
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CONTRACTOR'S NAME/COMPANY(cv,
Lic No. 3YZ42 % Class CZ
Contractor's Address
- Contractor's E-mail Address
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Cityj
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State + Ca-__ -. Zip ;� Z�ji�' / Telephoney-
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SETBACKS REAR
1[(J
SETBACKS FRONT Zo ZPERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT, PLAN CHECK NO.