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HomeMy WebLinkAboutX2018-3536 - Permit ApplicationZ4 x %V� - Sit) Na Print Form Workshe t &,frCpmbo Buildin & Solar Permit Application 9 F comm" Residential City of Newport Beach -Building Division MOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL „ar Building �', Grading f /braina a flec ;`Mech Plum Cu Yd Cut Cu Yd Fill JF-]N/A Project Address (�ailing address) Cl Flood Fire [7 Liq Landslide Floor Suite No Fz-- 4 12.. U t 01 J N t CA. '7 2- 3 2---- F-- Description of Work Use Const Type � -- # Stories i e Valuation $ Material/Labor A lee New bdd"F(,-model IVP-71 Garage/New/Add -� OWNER'S NAME Last �It/ First Owner's Address Owner's E-mail Address City - ` State Zip I Telephone l 16 - - --- APPLICANT'S NAME �[ ', Last � (/ i2t f � � First / Applicant's Address Applicant's E-mail Address v {� City / „/(r � _- State [� Zip 9Z_W TelephoneC)_2� 3) 0 ARCHITECT/DESIGNER'S NAME Last First Lic. No. 6 Arch itte�ct/Designer's Address Architect/Designer's E-mail Address City / v" --�/C- State Zip Telephone - ENGINEER'S NAME Last i '' First ACC_ Lic. NolO_ 6� Engineer's Address Engineer's E-mail Address City L /� �� � State I Zip Telephone S �� '7� L/ - - CONTRACTOR'S NAME/COMPANY nn N 9 Lic, No. F—, Class Contractor's Address Contractor's E-mail Address a City / v� J State Zip -J 3 C� Telephone r .3 © �� SETBACKS REAR SETBACKS FRONT PERMIT NO. LpI !et' e-j (�`j_ SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.'%1� h USE ZOPVE DEVELOPMENT NO PLAN CHECK FEES $