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HomeMy WebLinkAboutX2016-2809 - Permit ApplicationA __15 v� Wo eet for Combo Building & Solar Permit Application City of Newport Beach•- Building Division %Comm'I ❑ Residential G .oa•" - NOTE: PLAN CHECK FEES AT TIME OF SUBMITTAL ❑Building❑Grading Drainage ❑Elec ❑Meth ❑Plum cuydCut cuvdFm Project Address (Not mailing address) ❑ Flood ❑ Fire ❑ Liq ❑ Landslide ❑N/A Floor Suite No YPS W. IS,fk . Description of Work r Use ® ConstType a.1&: vie oA , #Stories© # Units (if Res)❑ Valuation $ New/Add SF'C� Remodel SF Garage/New/Add Material/Labor /`Sr OWNER'S NAME Last C/ e qK First Ownees Address Owner's E-mail Address City State Zip Telephone APPLICANTS NAME Last C a �q First; Applicant's. Address - Applicants E-mail Address /1 6S u . 1 Srk 4, (te a• e- /�4C,4aa ev &Ir T City N� ,..;- Q.tta%� State G(ry- Zip �jyGreT Telephone 'Pe7--u ARCHIT /DESIGNER'S NAME ast First Lic. No. Architect/Designees Address Architect/Designers E-mail Address Cif State Zip Telephoned ENGINEER'SNAME Last First Lic. No. Engineer's Address Engineer's E-mail Address City State Zip Telephoned CONTRACTOR'S NAME/COMPANY TC� ✓t Lic. No. 'T S7 { ( Class )a l A Contractors Address Contractor's E-mail Address 7 o�ct'M4�W- Q��h4S�'lnC'�$oJ*2oNS+LAa✓i�ch.Cawc..':. City -..eS4 State [LT] Zip q 7 Telephone gig.-6ya.-�rs� SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK. NO. USE ZONE. DEVELOPMENT NO PLAN CHECK FEES $