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HomeMy WebLinkAboutX2022-0234 - Permit Application (2)�C2O22�2a� PrintFormt Worksheet for Combo Building & Solar Permit Application O�EW�aa City of Newport Beach - Building Division (� Comm'I Residential Ci�- �( NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Building [`Grading rDrainage I-Elec rMech r- Plum Cu Yd cute Cu Yd Fill Project Address (Not mailing address) r Flood r Fire r Liq Landslide CN/A Floor Suite No l5 590 M a I I Description of Work Use F_ Const Type F_ # StoriesF_ # Units (if Res)[ fUN 1 0 , j ��ifG ` i (tet Y, -LZ X� Valuation $ Wo Material/Laborl�\)) New/AddSFI Remodel SFI Garage/New/AddF— OWNER'S NAME Last First Owner's Address Owner's E-mail Address CityFN__�j�a DA MY State Zip Telephone APPLICANTS NAME Last I Lan 2- First J e Applicant's Address Applicant's E-mail Address City<^ State �i� Zip T lephone ARCHITECTIDESIGNER'S NAME Last MCAY16019'(' ,First NUX) - Lic. No. _107037 Architect/Designer's Address Architect/Designees E-mail Address I Vo — City � W� Zip OI C,f Telephone 7/ Va �, �'(iC State 1 (�A ENGINEER'S NAME Last 11 ` �t C) First Lic. No.7�) 63 76' J Engineer's Address Engineer's E-mail Address 0?) r��►, V_VW)5C1JV&CA Ifni 1�2 r 11 City M;01^6� State �1n _ Zip �Ji/7 1 Telephone �71 IND L�1�G)SVS /� CONTRACTOR'S NAMElCOMPANY� Lic. No. � Class �' _�'-' lT� I1 Contractor's Contractors E-mail Address ' Address c.� ppp ��/ City '\ V =-- State # i Zip Q ©� Tele hone e> Lq , q 13 SETBACKS REAR SETBACKS FRONT PERMIT NO. )(707, , - G2 41 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO I �Z� ^ V?,7 q PLAN CHECK FEES $ ') eO L- Li i 3S