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HomeMy WebLinkAboutXR2023-0257 - Permit ApplicationComm'I [ Residential ['Building Worksheet for Building Combo Permit Application City of Newport Beach - Building Division NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL I Grading rDrainage r Elec Address (Not mailing address) 6 Description FMech FPlum CuYdCut l Cu Ytl Fill New/AddSF�— RemodelSFF� - - - - -- Garage/New/Add OWNER'S NAME Last �' ;p ,,,,� - W y- tt"_ -- First _�} 0 Owner's Address I Owner's E-mail Address —fin/ cZ\ ?I_k._ S-T City- -- State— ZIP r'7/y-- -- _ -.._. _. 7 Tol�....,.. �•vr.rv. J IYHIVIC I /•\JIT 14 Last L _ Applicant's Address City �� — State ARCHITECT/nFCLG1Uro.c .....� Floor Suite N F7 F7 IUse F # Stories[ # Units (if Res) Valuation$ WolMaterial/Labor 1% First Applicant's E-mail Address --- P✓GUS t ill-_.� �,x_ t✓� ='. � Zip q�"a0 Telephone../4S3g tl9l - _ ArchitecUDesigner's Address Last First F� - - -- - - _ Lic. No. Architect/Designer's E-mail Address City - - - .— _ - - State �— Zip Telephoned -- ...YvuVCCKa NAME .. Last nn First . Engineer's Address Engineer's E-mail Address 1S.ab 200 [koy � 4- Lis. City �hr_y1 r --1 ._ tw A—tvA State I �� CONTRACTOR'S NAME/COMPANY Contractor's Address City ENERGY P/C FEE $ GRADING P/C FEE $ Lic. No. 71 9 9 Zip �,7 ©� Telephone `7i� Lic. No. 7446 class) 0- . Contractor's E-mail Address State yyyyyy -- --- ,-� - ZIP L© Telephone 7L FIRE P/C FEE $ PLANNING P/C FEE PERMIT NO. X jL Z9KQ— I)ZSi ELEC/PLUM/MECH P/C FEE $ $ PLAN CHECK NO. pG Zp�� py DEVELOPMENT# PLAN CHECK FEE$ TOTAL FEES PAIn It