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HomeMy WebLinkAboutPV2023-0321 - Permit ApplicationPint Form_ Worksheet for Combo Building & Solar Permit Application NEW�VOIN r Comm'I r- Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL FDescriptlon rading j'Drainage r" Elec r Mech f r Plum Cu Yd Cuti- Cu Yd Filll ss (Not mailing address) F_ Flood r Fire r- Liq r- Landslide FN/A Floor Suite No oork h Skll �,v" Srlw ReG 363 / Use ConstType W -So/CE ljGlt �S 4 J I�$ fi 1 U2ol tVL��epf �%p �g #Stories #Units (ifRes)� No Ac4ce%j New/Add SF�— Remodel SFF� Valuation $ g Garage/New/Add �— 3/ Oov OWNER'S NAME Last Material/Labor / �j � r22Firstd ��� S j� Owner's Address 3 r� S.l-ap Owner's E-mail Address / J(o12.Aih ( �-i� City State FO—Zip qZA Telephonef_� APPLICANT'S NAME Last �r npFirst V love Applicant's Address I Applicant's E-mail Address look W rya z vc Ivv�aC© e44eco-�nee City State C� (�6tex p c' Zip 2 Telephone ARCHITECT/DESIGNER'S NAME Last F First F— ArchitecUDesigner's Address I Lic. No. �— ArchitecUDesigner's E-mail Address City State F' Zip r� Telephone[� ENGINEER'S NAME Last �— First Engineer's Address Engineer's E-mail Address City State r-- Zip F-- TelephoneF� CONTRACTOR'S NAMEICOMPANY � Prz (hr Lic No. /d/42P Class Glc� Contractor's Address loe .� W AV? E-mail Address ��'� , City State j;1 t% 0-Aee (t crz C�- y , orz �Qaa Zip q2,c d S Telephone SETBACKS REAR SETBACKS FRONT PERMIT NO. �/J�' 2 � _D3� SETBACKS LEFT -- SETBACKS RIGHT USE ZONE PLAN CHECK NO. Co2pa_ 3 DEVELOPMENT NO PLAN CHECK FEES $