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HomeMy WebLinkAboutX2021-1074 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application W�Rr Comm'I r✓ Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL U� BuildinFBd,,n,t GradingDrai age Elec IMech plum fVVVVVV����\\�V\� Cu Yd Cu[ Cu Yd Fill ress (N ling address FloodI— Fire r— Liq r- Landslide F_N/A Floor Suite No {� Sgils W61 � -cF— F---- ponoWork M6c{({1 C11{1t711 �0 eXi Cell tQ SIh01£ �tn1(lu YedIc�PNC� which �_ f(yre I (o Use �aonstType V$ �V # Stories # Units (if Res)F— �xiSiln t riY>f Q ftS CnaXiCrCum hey hj-, New/Add j31 Remodel SF �r 91 3 — g Valuation $ Gara a/New/Add r-- —_- Material/Labor 6r� F4, ©Qc) OWNER'S NAME Last Maur First Iturue� _ i Owner's Address - - L-C_ Owner's E-mail Address (off Wh�Fe _�Sat1c- Wa _hmre@ cal(_echare. cu1�1 City c"On 4del Mar state �- ---(- { -- - - Zip UZ 2 J Telephone APPLICANT'S NAME Last 5��1(y,r First Ta) " 1� Applicant's Address 17971 Mitchell N-, Svi}e Ibo Applicant's E-mail Address Tara(?ebfa, co City YU(he State IA-- p I N-t Zip IZ6I`� Telephone �c549 Z ARCHITECT/DESIGNER'S NAME Last EI (12 Architect/Designer's Address - :S -. - First %af I dS Lic. No. C 17463 i1671 (ArchitectlDesigner's E-mail Address M{'� -hell N.i suite I50 cay101 @ eb}q, cal City TNI,le. State W — Zip Telephone C9¢919,5-32g2 ENGINEER'S NAME Last xIQ4__ First C{1Ung Lic. No.,s uT2�g Engineer's Address J Engineer's E-mail Address ,{_ , r�j� ISZn �rwkholC�w ��:, Su�leQ� chln�� � a� hl City 741�1: �h4 State � (�� — q� lepho_ F(7 ' „'.' zip 121G� TelephJone �714)6%Z_ QsIo CONTRACTOR'S NAME/COMPANY U70'V0 e Contractor's Address /� LJO lemfpev r U Contractor's E-mail Address I F tVC ts6CA/C4�'.brt-ftf C city ��N State �— Telephone 3(,�j, /57Cf SETBACKS REAR SETBACKS FRONT SETBACKSLEFT SETBACKS RIGHT PERMIT NO. USE ZONE PLAN CHECK N0. DEVELOPMENT NO PLAN CHECK FEES $