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HomeMy WebLinkAboutX2020-2718 - Permit Application (2)Print FormWorksheet for Combo Building & Solar Permit Application Comm'( r (Residential City of Newport Beach - Building Division XZU2D- ig NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Building r Grading rDrainage NElec Mech PlumFT_ Cu Yd Cut fP Cu Yd Pill rr Address (Not mailing F Flood r- Fire [_ Liq r Description of Worts �o1) l -r 10DN [—NIA Floor Suite No UseR3 Const Type rv' # Stories # Units (if Res) New/Add SF �(v' IVa Mate, Remodel SF Garage/New/Add ua OWNER'S NAME Last /jLFQx_--oQ First ',o ` L", dL-- s abor 0/ Owner's Address Owner's E-mail Address � � �'�' `� 4,I,tict�a���lpLP��� city fJZ]r� �J1 yJ State Zip TelephoneF— APPLICANT'S NAME Last FN� First Itu (syn Applicant's Address Applicant's E-mail Address 2`i 1- 1lSr' bP� � Q_� .hV,+' City FM-1�aYJ�/ 1C) State Zip Telehone OW E� p � ARCHITECT/DESIGNER'S NAME Last ��` �rij I �'C " V �'C1.1. First a llcuzyn Lic. No. 2 Architect/Designer's Address Architect/Designer's E-mail Address City Yjokj V l LZ6 State Zip C'j Telephone �4� ®h ENGINEER'S NAME LastLic. No. '—`uL�f 1L First — tl 3� ty Engineer's Address Engineer's E-mail Address m vi% tq -r I Q,Vn IL c - yyv t cityIia! pu1�' State �— Zip ��(p(� Telephone �© ( Q CONTRACTOR'S NAME/COMPANY any (1 yt h}� L Lic. No.61I 1 Classr6 Contractor's Address 1vVCVVo tractor's E-mail Address l City 141 State— Zip Telephone4q% —raj I q 'i 1. 1 SETBACKS REAR S SETBACKS FRONT i rj PERMIT NO. t" • Z'I 1$ SETBACKS LEFT 3 SETBACKS RIGHT 3 PLAN CHECK NO. 24150% • ImC z USE ZONE R_ 2. DEVELOPMENT NO j y!e" • C' iH PLAN CHECK FEES $