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HomeMy WebLinkAboutX2022-1366 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application o�EW�R>a j Comm'I ( Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL [-Building [- Grading [—Drainage [-Elec [-Mech [- Plum CuvdCut CuvdFill F Project Address Not mailing address).[- Flood [- Fire [ Liq [ Landslide [-N/A Floor Suite No ?2© s Descri lion of W Use Const Type 1i Stories #Units f Res)[— E Zi dt z dAtA_ 46Pt 541 .- Valuationa Material/La bor New/Add SFF — Remodel SFe Garage/New/Add �— OWNER'S NAME Last n First Owner's Address Owner's E-mail Address .» s City State Zip e Telephone— - APPLICANT'S NAME Lasta�/ First Applicant's Address Applicant's E-mail Address City State Zip TelephoneF ARCHITECT/DESIGNER'S NAME Last First — F Lic. No. Architect/Designer's Address ArchitecUDesigner's E-mail Address City �State l Zip F__ Telephoned ENGINEER'S NAME Last First F Lic. No.e Engineer's Address Engineer's E-mail Address City State F Zip � Telephone CONTRACTOR'S NAME/COMPANY W0 , s s�c. No. /Class Contractors Address Contractor's E-mail Address City I A0001. State �� Zip I� Telephoned/ �zz. o So SETBACKS REAR SETBACKS FRONT PERMIT NO. x2OZ2- - l 3 6 6 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. fj4�Z-ZoZI USE ZONE DEVELOPMENT NO PLAN CHECK FEES $