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HomeMy WebLinkAboutX2022-0273 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application FJ Comm'] F-! Residential City of Newport Beach - Building Division � 1LOZZ-01Z,11; NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL ❑Building r Grading IlDrainage ❑ Elec [j Mech � Plum cu curl Cu Yd Fill of Work New/AddSF� OWNER'S NAME Last Owner's Address City I I V o/ ., A i -Y ,% mid i //1 I State APPLICANT'S NAME Last Applicant's Address city- -- trLO e Lm - — --- _ state L l r Flood ❑ Fire ❑ Liq [ Landslide Garage/New/Add I J Z/J11l174irstl Owner's E-mail Address Zip Telephc First Applicant's E-mail Address ZIPTelephone ( JN/A Floor Suite No � FT/T iSZ Const Type Va-SP # Units (if Res)n A01,500 ARCHITECT/DESIGNER'S NAME Last 7��(lTc_._ -- J First Lic. No. Architect/Designees Address G_0 S_P--2- City J-� State L%_I Architect/Designer's E-mail Address I --------------------- -- -- --- - - - _ __-J Zip RN II Telephone�&s ENGINEER'S NAME Last FirstF-7-7-7-7Lic. No Engineer's Address City State F7 Engineer's E-mail Address Zip I Telephone�� CONTRACTOR'S NAME/COMPANY /, Lic. No. ass l p-S®f Contractor's Address City / State - —V Contractor's E-mail Address ©rte coy r tQa -_ ,�r1it�5_ r-1 Zip 9 —0 Telephone -9y/ 3Q7fS62� SETBACKS REAR SETBACKS FRONT PERMIT NO. )( 20 "LZ -n-7 3 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 0 Z,cl LI ^ 2022 USE ZONE DEVELOPMENT NO I)Z027 _d0 55 PLAN CHECK FEES $