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HomeMy WebLinkAboutX2020-2718 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application r Comm'I r (Residential City of Newport Beach - Building Division X2U2�- LT�g o NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL wilding r Grading rDrainage r\Elec r\-Mech Plum cu Yd cutcu Yd FillIV Project Address (Not mailing address) r Flood r Fire r Liq r Landslide rN/A Floor Suite No Description of Work Use ?,'� ConstType[713 441 � . �2 ����� (�,t)p I -T- i oma+ # Stories # Units (if Res) r - r • .rte _� New/AddSF Remodel SF Garage/New/Add II Valuation $ Material/Labor I OWNER'S NAME Last First Owner's Address Owner's E-mail Address �m -0 rL Ihn�QVhGQgMlQa rzit-w , cah-, City I Ew�1 s T:�l�} J State F� Zip ��� TelephoneF APPLICANT'S NAME Last I k -N aTiL First I t1_L i a�YYI Applicant's Address Applicant's E-mail Address 2`1 1-1 ( ,NQ Q L. LdkJ� , ` City l rJ�/ V� i� -- State F O t Zip 2Co,� Telephone owl �Gt ARCHITECT/DESIGNER'S NAME1 Last , First Nlc�gUM Lic. No. r� ArchitecUDesigner's Address Architect/Designer's E-mail Address (- City I j y'l l 1jjj State r Zip I Telephone 1 I� ENGINEER'S NAME Last u First �cm_ i j Lic. No. c Engineer's Address Engineer's E-mail Address rlsl Pz)fLT til PLC2, t�� �� c1ol 11 Lr City Nxe-v � State I`�Zip R Telephone i© -G n CONTRACTOR'S NAME/COMPANY Lic. No. ��� VI Class °VCo Contractor's Address tralcteor's E-mail Address City �'J"ly('� '6� State F( Zip FWA-71 — Telephone 4q %Ji3,4"1911 SETBACKS REAR S SETBACKS FRONT 1 S PERMIT NO. u ' ZhI i � SETBACKS LEFT 3 SETBACKS RIGHT .3 PLAN CHECK NO. ZI SLg , 20-&Z n � USE ZONE ([ Z DFVF_LOPMENT NO 1" YGF� ' �`��i I PLAN CHECK FEES $