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HomeMy WebLinkAboutX2021-2209 - Permit ApplicationI per/ 9�� Print Form Wfilo °kshoot for Colrabo Building & Solar Permit Application U.N kComm'I ❑Residential City of Newport Beach - Building Division�NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Building r—j Grading F7,Drainage Elec �i Mech Plum cu vd cut ; Cu Yd Fill Project Address (Not mailing address) Flood r; Fire [7 Liq ❑Landslide F iN/AFloor Suite No Description of !Mork P Use Const Type., # Stories; # Units (if Res)I Valuation $ Material/Labor New/Add SF Remodel SF Garage/New/Add F_- OWNER'S NAME Last 1, _ , ( first I . Owner's Address Owner's E-mail Address C-1 H411tea u M City �L \ State Zip �/ Telephone �' APPLICANT'S NAME Last �� 1 First Applicant's Address Applicant's E-mail Address cityI-AAU1�1 i�9 K9 _1S State ZiK¢- Telephone ARCHITECT/DESIGNER'S NAME j Last� { Firsts Lic. No.Z j Architect/Designer's Address Architect/Designer's E-mail Address City 1 I. A/ State Zip 7 ` Telephone ENGINEER'S NAME , Last �- First C Lie. No.� Engineer's Address Engineer's E-mail Address City State �— i Zip Telephoned- CONTRACTOR'S NAME/COMPANY ©� .� , S nn Lic. No. F 7 0 7) T Class 7_67"Il2 V I ) c U L_ Contractor's Address Contractor's E-mail Address city 1���'7 1 /� State �— — Zip "/Z7.oC� Telephone _4b j� g� 3•.e>c� SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $