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HomeMy WebLinkAboutX2019-1816 - Permit Application (2)Print For Worksheet for Combo Building & Solar Permit Application a «� V( Comm'I r Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL F- Building r Grading rDrainage rElec FMech r Plum Cu YdCut F Cu Yd Fill Project Address (Not mailing address) r Flood F_ Fire F_ Liq r- Landslide FN/A Floor Suite No _l � 3 0. 50L O Nc Poc a�� �r ala 62 5: � —. Description of Work Use I W `• ` Const Type F_ lL��nc�©Lli ���2YV�ert # Storiesroq—, #Units (if Res) _.. _... _ __.- $ roe Material/LabortJ" 9 F_Valuation New/Add SFI I Remodel SF Gara a/New/Add OWNER'S NAME Last Firsta-L l �evLtn� CornPy% Owner's Address _ Owner's E-mail Address )13Z �p4,e_ DP(e C�SiT-,t S CsvcaSLLP S ,Com City ' POC . 6 ,(\ ''. State EA Zip 7 Telephone R4CI,-7a1- ©tt1_. APPLICANT'S NAME Last Ivve�C�lt�� First Applicant's Address Applicant's E-mail Address C'+, ,- f`d LAD i,1 o rr City i jC- Q LSI _ State I C_ )k- Zip Ra7.a Telephone ARCHITECT/DESIGNER'S NAME Last �- — First F_ Lic. No. - -- Architect/Designees Address Architect/Designees E-mail Address __.._— City F - - State F_ Zip r—'.. Telephone— ENGINEER'S NAME Last First f_Lic. No.I_—--, Engineer's Address------ Engineer's E-mail Address City � '.. State F Zip �— Telephoner-_ CONTRACTOR'S NAME/COMPANY PSC-f�� f� Lic. No.`193($ Class IJ Contractor's Address Contractor's E-mail Address 90 bc)y 3.501 L ')e Tri//Cui,QE e6fe_cCrvrn OL.0r2S -Cnvn `` City go rr' t n J \D i^ 1�Je`N - State lf" ' Zip Id, �S Telephone Z (Zi ` / l J ^ 6 i / l SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $