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HomeMy WebLinkAboutX2017-3694 - Permit ApplicationIm J ,XZ0 13 U C 4 EW� yiloamheo for Gumbo Buo ing & Solar Permit application Comm'I Residential City of Newport Beach - Building Division Uc9/d. H`Pz �A NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL /FOP Building Grading F—Drainage F_ Elec Mech F— Plum Cu Yd Cut �i Cu Yd Fill Project Address (hMat mailing address) Flood F_ Fire F_ Liq F Landslide F_N/A Floor Suite No ` s-0I PeK AM Description of Work (Sys Use ConstType �- � # Stories #Units (if Res) I �� W h � W r r��� V� C� I' 9 ✓f Valuation $ -7 06 Material/Labor) / New/Add SF Remodel SFGarage/New/Add-` OWNER'S NAME Last �.� � po(i fe— First Owner's Address Owner's E-mail Address Far v1 I���G>��, �� -- - -- City rl V �V Po t r �.�c��� State CA - _ ZiP 5Z, C. � Telephone, APPLICANT'S NAME Last �i��U✓� First 6 r,"S Applicant's Address Applicant's E-mail Address -- I i d r,,5 IBC. // t-A 1, 5 c h noiJan�,(, �, IS: (0h,, City o TU d 1 { State Zip q 2 (Z b Telephone 7N7rY,Y0?) ARCHITECT/DESIGNER'S NAME Last ) �i_tin c,d,l� First Zh s Oo Lic. No. !r r Architect/Designer's Address { ` Architect/Designer's E-mail Address 1 C1 iC %�_iM�S _. - - -�'-- J7-e - �_ - _ t 1 F6�r,'5/FrldOn��C{t� �r!C�S. (ort, City (05 iLVI ! I State C A zip M 61 L Telephonef`7TY q0 Y© ENGINEER'S NAME Last �,,, First wJ Lic. No. W� Engineer's Address Engineer's E-mail Address -- - --- Zip Tho City /�le CONTRACTOR'S NAME/COMPANY ,- t Lic. No. �jsb Class Contractor's Address Contractors E-mail Address �GL �} pr, CA a 1/�C dot Lam✓\ �`Q� r'a (r f_ O-�(`7 _�+ ` City �, State t; Zip . l („�.� Telephones'7 K--�-(/4-- Ti q SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. ry !, USE ZONE DEVELOPMENT NO �C/ �� PLAN CHECK FEES $