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HomeMy WebLinkAboutX2014-2958 - Permit Application�uILA -Z10v Worksheet for Combo Building & Solar Permit Application o°R> F Comm" �(Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Building Grading F-Drainage jlj�ec 4, _�um CuvdCut � cuYdFill Project Address (Not mailing address) ❑ ^U F ,, Fire LKSLiq F.-j Landslide CN/A Floor Suite No .4 Description of Work` Use Y�ConstType W }� t # Stories # Units (if Res)C Valuation $ ° Material/Labor ° /©d0 �� New/Add SF7—Pi Remodel SF I Z"�`J✓ I Garage/New/Add FI OWNER'S NAME Last �j \AS First Owner's Address Owner's E-mail Address ` CityState F-W Zip Telephonef' J APPLICANT'S NAME Last �(� First_�,n Applicant's Address Applicants E-mail Address /C/' r— --0-.-- --x<�� _ v1.Oc7So/1,Li2�i.ST/"r.LC%v=�t'T�la city �.� State I "'Y �J Zip G't.,l /'�} Telephone ?kA/_g L � ARCHITECT/DESIGNER'S NAME Last First Lic. No. L,A J /L Architect/Designer's Address Architect/Designer's E-mail Address City I !yQ O' \b,\N Pam.' l State � Zip �7 L j Telephone ENGINEER'S NAME Last - J First Lic No. �; 3 J Engineers Address Engineer's E-mail Address City ' �T lrx _ J State Zip Telephone 4\9 CONTRACTOR'S NAME/COMPANY - Lic No. Class i 7685� - -1 Contractor's Address ContrJ/actor's E-mail Address -- -- City ���,@,,,�cx T4 State �� Zip ?�_��l Telephone SETBACKS REAR SETBACKS FRONT SETBACKS LEFT SETBACKS RIGHT PERMIT NO. PLAN CHECK NO. f/ USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ -