HomeMy WebLinkAboutX2022-1171 - Permit ApplicationWorksheet for Combo Building & Solar Pplimit A i 'cat' aoRr
City of Newport Beach - Building Divisi
r Comm'I r Residential i
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NOTE: PLAN CHECK FEES DUE AT TIME OF SU I
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Building li Grading r,Drainage r Elec r Mech rPlum Cu Yd cut Cu Yd Fill
Project Address (Not mailing address) F Flood r Fire r:, Liq f—,Landslide r7N/All Floor` Suite No
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Description of Work
Use F_ Const Type FVT
# Stories' # Units (if Res)F'
. ... ...... .
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Valuation $
New/Add SF F77777 Remodel SFF—; Garage/New/Add Material/Labor
OWNER'S NAME Last l( �j�� First �+�
Owner's Address Owner's E-mail Address
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City 1%9., _.I-. Rec,,ek State 7�Zip ._J�G� .: TelephoneLl Z 1i{ �',.?..- )I? 10
APPLICANT'S NAME Last -//11 f —
-------._ ti-_..i.1.�^_._....-. : First K.
Applicant's Address Applicant's E-mail Address
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City e a`"' - State 1 Zip .���0� Telephone (.��} OCA'--X2S—
ARCHITECT/DESIGNER'S NAME Last First F_ Lic. No.
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Architect/Designees Address Architect/Designer's E-mail Address
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City State Zip � Telephoned/
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ENGINEER'S NAME LastA(50� First1 Li c No
Engineer's Address Engineer's E-mail Address
City State ZipQ ---y'G Telephone ��
CONTRACTOR'S NAME/COMPANY�J N �OvS77�cJ� 7rr Lic No. lass FB
Contractor's Address 0615.4 N2l5T �C ntractor'sE-mail Address
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City State .Zip _ g2ii(v� Telephone
SEACKS REAR SETBACKS FRONT PERMIT NO. X2QT(jL 1171
SETBA S LEFT SETBACKS RIGHT2 PLAN CHECK NO. 10-7 S 'Z
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $