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HomeMy WebLinkAboutX2019-3767 - Permit Application1101q-31VI Worksheet for Combo Building & Solar Permit Application o4N ❑ Comm'IResidential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL []Building ❑Grading ❑Drainage ❑Elec ❑Mech F1 Plum Cu Yd Cut F7 Cu Yd Fill Project Address (Not mailing address) ❑ Flood ❑ Fire ❑ Liq ❑ Landslide ❑N/A Floor Suite No 537 AC/��/A F Description of Work LL ' /W %!i New/Add SF Remodel SF F7777 Garage/New/Add OWNER'S NAME Last Owner's Address Owner's E-mail Address Use F7 ConstTypeF71 # StoriesF] # Units (if Res) Valuation $ Material/Labor /Z 1_10VS44 Circ City LFw aw%6C14 I State L Zip Telephone APPLICANT'S NAME Last First Applicant's Address Applicant's E-mail Address 2 1822 Lo /, t car j Rrjq� (g?j GzCe City ��o/� State © Zip ARCHITECT/DESIGNER'S NAME M/ Last �e �ow �First Lic. No.S Z/ Architect/Designer's Address Architect/Designer's E-mail Address d% Lc/ 2) City(f,��,q�_�(/ ���! State C Zip [_77:_::] Telephone ENGINEER'S NAME Last ��, �'G f C Z14 First �� �'� Lic. No. S _Z/7 Engineer's Address Engineer's E-mail Address City I A11Nr1V1_aL, is� State C Zip Telephoned CONTRACTOR'S NAME/COMPANY J 9C C �� �� Lic. No. s,/_E/' Class Contractor's Address v` V Contractor's E-mail Address City ���N�/`�(7�/,j State `, Zip `2� (JC� Telephone7� SETBACKS REAR SETBACKS FRONT PERMIT NO. Xa D 1 I - ✓ -7 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. (O o q:2 % USE ZONE DEVELOPMENT NO tJ�� PLAN CHECK FEES $ ii