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HomeMy WebLinkAboutX2016-2930 - Permit Applicationec -T-F kz� lU -P/�D Print Form Wor t for Combo Building & Solar Permit Application Comm'I Residential O Z NOTE: of Newport Beach - Building Division l : PLAN CHECK FEES DUE AT TIME OF SUBMITTAL F-Building (-. Grading F-Draihage F_Elec rMech r- Plum cuYdCut CuvdFill s Project Address (Not mailing address) C Flood (- Fir iq Landslide F_N/A Floor Suite No IOQ�'- �%-� �� _c✓E�°Pare � C�-yz� i- Description of Work Use ConstType Ft # Stories37 # Units (if Res) New/Add SF �Remodel SF Garage/New/Add �— Valuation a O� /-� Material/Labor !/ /y j OWNER'S NAME Last ew First �JE - Owner's Address Owner's E-mail Address " YoV /mii — rs% �ILP -- -- - of ✓/N �/%dl GG� City �j/✓(�//Z(%.--F� State �— Zip Telephone APPLICANT'S NAME Last /�C /�/,r - First ("U'j�J"• Applicant's Address Applicant's E-mail Address 1J7,-) / ©fll�h/Of C - - f � �ci�ir �d � trr_C6„ City _ State C� Zip F Telephoned ARCHITE /D SIGNER'S NAME st dlr�rl�G✓/�. First lei/C�� F Y/ /'"� Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address _4179 irlc ✓ Alf -- -- - WE City �oj �� f, - State Zip Telephone-1 �%/ Z�l{,��r') ENGINEER'S NAME Last First �— Lic No.� Engineer's Address Engineer's E-mail Address City State �— Zip Telephone_P 7r Q,aU CONTRACTOR'S NAME/COMPANY r/. f. Lic No. -_-� 3�j� Class f Contractor's Address Contractor's E-mail Address 02in/ 6f�/I ✓� � - -- � f/F� i1C�r�C�/crt/� f�PiCcr /- ce / A City Zip /Ch /7'/I State L'i.`..... /���%�' Telephone SETBACKS REAR SETBACKS FRONT PERMIT NO ^' O SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $