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HomeMy WebLinkAboutPV2023-0064 - Permit Applicationv Print �onr..' Worksheet for Combo Building & Solar Permit Application Comm'I 7esidential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Fv-4ilding r Grading rDrainage r'Elec rlMech , r Plum cuYdCut l CuYdFill P'r�ojjj'ect�/Address addr�ess))j�1-`. Flood Fire Liq�r-'.. Landslide rN/A Floor Suite No /��j- ff- `,�(Not rmfanilling{ �.�C)l) CY S I,)Qa �i U� Description of Wrork Use ConstType Uy # Stories[— # Units (if Res)F U[a, J b r 1( I r 't ` icL- : Z4 t i I �'�L4� n��V� I VL)t ' Valuation$ l�W Material/Labor l ,twll0 ll lJl�i New/Add SF Remodel Remodel Garage/New(Add I—' ��,SFpppp� OWNER'S NAME Last? First _... Owner's Address Owner's E-mail Address t��g Mew ow _ �o� Xr� r�ngo,(I corn. City Ne /wol � auk State I U�� Zip �I�� —0 Telephone 6(8 ) " ) APPLICANT'S NAME Last ���� _.... First )V i 4V_t _. Applicant's Address Applicant's E-mail Address 7a WM �& G� ��--- —nV`t^,,®�!--- V�I�}G_..-.S^��b1 �r�-�tep�-o(i�.��� ^� t�l�� city State � � �A_.. ��`S�(,� Telephone Zip_I. t/tc�C4Vb ARCH ITECT/DESIGNER'S NAME Last First—! Lic.No.��, Architect/Designees Address Architect/Designer's E-mail Address City Zip F—' ' TelephoneF�i �State ENGINEER'S NAME Last First I v'YI KJ Lic. No.�— V' ` " V1 Engineer's Address Engineer's E-mail Address City State F Zip F TelephoneF� CONTRACTOR'S NAME/COMPANY �YJTtSNr� Lic No. D Class CI' ^ Contractor's Address Contractor's E-mail Address SCojj t Jkbm � i S (�M � City o l� �,�� State I �`- Zip �� Telephone SETBACKS REAR SETBACKS FRONT PERMIT NO. PV2023-0064 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. or"�n� ' 34)2 r USE ZONE DEVELOPMENT NO PLAN CHECK FEES $