HomeMy WebLinkAboutX2017-2989 - Permit ApplicationX 2ol -7-- 2. C1 6 (� Tro v' �Jj o � y - (�_ -z-o
C Print Form Worksheet for Combo Bul ding & Solar Permit Application
r- Comm'I F_ Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing address) F_ Flood
r- Fire F` Liq r Landslide f_N/A Floor Suite No
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Description of Work
Use F—Const Type F—
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# Stories[ # Units (if Res)
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Valuation $ : k—
Material/Labor
New/Add SF� — Remodel SF�—� Garage/New/Add ��
OWNER'S NAME Last ���� �.��.�,,g� L�.,C
First
Owner's Address
Owner's E-mail Address
2`io l W . Gcasac 1�t9hwa�
g elz�eity L55 �• ; - ir'c. �o�_ _
City I VAQWta--c-k �Se*.,NN State FGIN.
Zip -�2..(o(c 3 Telephone gym►-(o,\g-s$S�
AV PLICANT'S NAME Last �
First MqVZ\yl
Applicant's Address
Applicant's E-mail Address
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City Neu-VWk P�avc� State GA Zip
� 2 6o , 3 Telephone 9,9SSS�-
ARCH ITECT/DESIGNER'S NAME Last
First ``� �
`i'J�GI Lic. N o.K-66-
Arch itect/Designer's Address
Architect/Designer's%E-'a`l Address
A10 b`d \ eft4_S�w-k zwd•
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City tveweo�rF '�eaclr� State Cps Zip g2coto 3 Telephone q'�q- wA S - S $ S-.
ENGINEER'S NAME Last
First 1k o SS Lic. No. C 5 o21
Engineer's Address
Engineer's E-mail Address
r(a'75 N . EckMo�'�, Svc-ke A
So;\Pgc;�;c @ �Yv�gi\• com
City Q�ara�p State C�4 Zip
c'12$(0 $ TelephoneWA - $•I9-1Z.03
CONTRACTOR'S NAME/COMPANY �AZ Gdrs4�c � Lic. No. g-«4p*j$111�ClassF
Contractor's Address
� t C323810.7
Contractor's E-mail Address
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City NevJ��c�C �eadn State I `-r' Zip
q-(o(03 Telephone
SETBACKS REAR SETBACKS FRONT
PERMIT NO. 7 Vq U
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. C�� 7
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USE ZONE DEVELOPMENT NO .�J_ - D�'"[ e PLAN CHECK FEES $ L r I