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HomeMy WebLinkAboutX2021-3199 - Permit Applicationeet for Combo Building & Solar Permit Application o s xa�a1�3 w0 �' � City of Newport Beach -Building Division �� � Residenti NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL g Elec )-Mech Plum cuYdcu�l Cu Yd Fill rg Grading Draina e `� Flood � Fire (� Liq6�i-L4nclslide i�N/A Floor Suite No �Gt Address (Not mailing address) f--- �— (� ---- --- - - - Use ConstType iption of Work L ,.....-, ' V4nru�-.b,j4Ai /�}i �i �tl i�; ',� �� # StoriesP- # Units (if Res) ® ��� 1� f �i,+�„ f:Si7vir A16J XC"Jt r af't,i,J .S�� i14 S-Gd- � Valuation $ SF�� Remodel SF 'K Garage/New/Add Material/Labor Tt� 11�'�-' Jd IER'S NAME Last �e AW ��� First E aLs Owner's E-mail Address ner's Address r ( Poe yT G LW9 I Z (a CRC Telephone �� 4� -(� ` (IN sty L� ti� etifi��C� State C/ Zip First���}#;� ,PPLICANT'S NAME Last C30I (,C / Applicant's E-mail Address Applicant's Address { = ( O 1 P�f,+ V faCL� �� L k�RC.t � Z i i CIA No�� � R State ��� city %�isliwY'r PtL"� � Telephone - � •�'" �C1 Zip 4-2 6Sr-`'(�{`� First ��}�;i � Lic. No. C'"Z-�7 �% O 'l ARCHITECT/DESIGNER'S NAME Last Architect/Designer's Address ` Architect/Designer's E-mail Address _ 41/� �� Lid �,u CUM ( State CA Telephone gtki- c�3 r� � ��tif city ,� � ��� _ Lic. No. C-4, 7J First ��4C�.1 ENGINEER'S NAME Last 1� 1( Engineer's Address Is?- Urr-9.00 ct-, I.x' # (o 2- City Gi-6d—,,A State Ct4 CONTRACTOR'S NAME/COMPANY Contractor's Address Engineer's E-mail Address N Zip fir'% J Telephone Lic. No. Contractor's E-mail Address City Telephone) State �--"• Zip F_—"_____- SETBACKS REAR !.� SETBACKS LEFT USE ZONE SETBACKS FRONT SETBACKS RIGHT DEVELOPMENT NO 1 t� `7 PERMIT NO. PLAN CHECK NO. PLAN CHECK FEES $ Class