HomeMy WebLinkAboutX2018-1409 - Permit ApplicationX201� -1�Orl
Woet for Combo Building & Solar Permit Application o 2EW
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7 Comm] F Residential x City of Newport Beach - Building Division � _
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NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[—Building F Grading rainage j_ Elec Mech , J i l.,pr u� cuYdCut � cued Fill
Project Address (Not mailing address) I Flood ( Fire ( Liq Landslide I N/A Floor Suite No
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Description of Work Use ConstType
# Stories 77# Units (if oos)r
Valuation
New/Add SF Remodel S Garage/New/Add a/New/Add r �� Material/Lab�r��� `/.
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OWNER'S NAME Last. First
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Owner's Address
_ Owner's E-mail Address _
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City ��,1�'(' �*j State F"_ Zip �� Telephone,".
APPLICANT'S NAME Lash N� First
Applicant's Address Applicant's E-mail Address r
City �S- i State ,��=\ Zip 2� 2 Telephone
ARCHITECT/DESIGNER'S NAME Last
I HAi)\Soo
Architect/Designer's Address
City t State
First i �A 6 Kr�7 Lic. No.
Architect/Designer's E-mail Address
Zip �� Telephonei'- „2-fv57- 2
ENGINEER'S NAME Last�II, } First _ Lic.
Engineer's Address Engineer's E-mail Address
city i State- Zip Telephone!
CONTRACTOR'S NAME/COMPANY Lic. No. Classes
Contractor's Address
i
City
Contractor's E-mail Address
i
State �� Zip I Telephone'
SETBACKS REAR SETBACKS FRONT PERMIT NO. X, • I U
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $�