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HomeMy WebLinkAboutX2022-0478 - Permit ApplicationPrnt Foam Worksheet for Combo Building & Solar Permit Application e� R Comm'I Residential City of Newport Beach - Building Division «o NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL [Building F_: Grading Drainage C Elec F_ Mech (— Plum Cu Yd Cut Cu Yd Fill F /P`rojectCAddress (Not mailing address) C Flood [ Fire F Liq [7 Landslide CN/A Floor Suite No Description of Work ' Use Const Type if Stor' sl�; Units (if Res)F— �-'�/ Valuat Material/Labor New/Add SF�', Remodel SF1____ Garage/New/Add [ OWNER'S NAME Last VA d kb � First Owner's Address Owner's E-mail Address �/ ! \�2A S 4 r 1 IAJ 144 ky,49/t 1 CityA)41)Off &CI State C?1 Zip Telephone©.Cw APPLICANTS NAME Last First 15e f�tdlo .-t ttil yc� Applicant's Address Applicants E-mail Address - !� 15Vic, a f l -) l 4 LO ^rU.)I�JcY�k NS/`Yltr 6'I ✓VJCr�. d rcu• City State Zip Telephone ��� Lic. No. �. ARCHITE /DESIGNER'S NA E Last FirstPees Architect/DeSigne s ress iteND cesiPilAddLress City State [7—: Zip F7�_ Telephoned ENGINEER'S NAME Last 44o) First �j Lic. No. ] 7 ! En inee `s Address Engineer's E-mail Address D. FdtT lI 63 4fcc�Ja�Syfo„s� ft�� City 1, k Mel� State [A Zip � �, Telephone 1 - 6- CONTRACTOR'S NAME/COMPANY Lic. No. Class f Contractors Address Contractors/ E-mail Address / DOTG� L�� L cn c el Y7GuIrt c g6i�bmrel:v 1fw -� k vl�rS• �Q, City L,r j fn t State ZiP � Telephonl 7d(fro r) -- SETBACKS REA SETBACKS FRONT PERMIT NO. !c ZG ZZ 0 t{ 7 g SETBACKS LEF SETBACKS RIGHT PLAN CHECK NO. ()Lf Z( —Z&-L 2 (Y— USE ZONE DEVELOPMENT NO n 701 q -rrne a PI AN CHFCK FFFR R