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HomeMy WebLinkAboutX2021-1608 - Permit ApplicationPrint For Worksheet for Combo Building & Solar Permit Application Comm'I F_ Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL C1G/FOR F Building f— Grading F -Drainage F_ Elec Mech Plum Cu vd Cut j Cu vd Fill Project Address (Not mailing address) h Flood Fire r- Liq [_ Landslide F_N/A Floor Suite No .1 PARK N L W ?0R :B LDS 1�1� c c o F F_ Description of Work Use Const Type Ly-- I)SCIMiticq - C1Aitl),- t �L►�% �;l YzclFiCt}4L Ni�F # Stories #Units (if Res) )mow Vi��'tl�1C`l1✓ L1L f�'Il?Nfl. i7CZD��TIJc C-,RVjv�Z % ��'�IfuL�. I I Valuation $ Material/Labor New/Add SF Remodel SF� Garage/New/Add OWNER'S NAME Last PART{ Evj-PORT LP First Owner's Address Owner's E-mail Address PARK I\A E%4Port-t- KDRESS E L. @ C, 3.-A �CpM City N a y,, p© � I�ACState A Zip q b Telephone y%S CJ-C� APPLICANT'S NAME Last q Z First : /-\ rl �5 Applicant's Address Applicant's E-mail Address Pigcz�<, N1e.�9pt r N�3 12G,o � V1AZ'(�) C,,3 -A.CoM City �) EQ POV , BC-1 1 State Zip W C(, (D Telephone (94yq �,3Lq NNAME ARCH ITECT/DESIGER'S NAM. E Last First Lic. No. F Architect/Designer's Address Architect/Designer's E-mail Address City State F Zip Telephone ENGINEER'S NAME Last First Lic No. - Engineer's Address Engineer's E-mail Address City State Zip Telephoned CONTRACTOR'S NAME/COMPANY Lic. No. Class L �� Contractor's Address Contractor's E-mail Address 320 N P><h2k� \j I>-rp- sT r��S ��� n� �� City �>F}NWr Ite�Ii"t State Zip "12��� Telephone -1 11_�.10 SSn SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $