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HomeMy WebLinkAboutX2021-2711 - Permit ApplicationPrint For W/ y,hheet for Combo Building & Solar Permit A illication of,a F comm"[—/Residential) 1 City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMI �+<,lo,a' Fl/Building r Grading Drainage Elec R4ech Plum Cu Yd Cut Cu Yd Fill F Project Address (Not mailing address) F Flood F_ Fire F Liq [— Landslide r_N/A Floor Suite No 5 LOZ 1--e-rn l ea � AvcnuLe. Cor -ora del Mae- F Description of Work Use Const Type # Stories #Units (if Res) Ott+'1 efnc)d6 -two babriroorne, replace e2b�ne�s3yeolace hle In 8VIOWer4lUb surround,_re�lacc to�lef,_stnlys d txtw�, Garage/New/Add New/Add SF_ Remodel SF IFj� "A �� � �4- Valuation Material/Labor s OWNER'S NAME Last I P;NZd First r1aLVIPXtY12 Owner's Address Owner's E-mail Address l°l_1'tbUMOn� 7rz _. _kc.vdb2ot5©c�.rnatl•Gom__ City COrOr1a CtetHaY 1 State CR—', Zip 9a�' Telephone 949-eBq"qa6& APPLICANT'S NAME Last a6 above- First Applicant's Address Applicant's E-mail Address City State F Zip �T Telephoned ARCHITECT/DESIGNER'S NAME Last 6 VYI I FirstLAj reLj Lic No. Architect/Designer's Address cJ Architect/Designer's E-mail Address 50a Fernl,ea�_Ave at_Lbre33edomuz-cx-arbe."corn City Carona ctel Mar State EZ_ Zip ,(cat Telephone 9i: -5co - 858` ENGINEER'S NAME Last AJ A First Lic. No.F_ Engineer's Address Engineer's E-mail Address City State Zip F Telephone CONTRACTOR'S NAME/COMPANY Owl.- Lic.NoT ClassF Contractor's Address Contractor's E-mail Address City State I Zip F--- Telephone SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK No. jw rrry� USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ a Lam"