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HomeMy WebLinkAboutM2023-0020 - Permit ApplicationPrint Form_ _ Worksheet for Combo Building & Solar Permit Application F_ Comm'I F_ Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUF AT TiMF nr_ ai ]PRAITrni F-Building j- Grading F-Drainage F_Elec F_Mech F- Plum CaYdCut U r yy,Y�r O 'r`!� Project Address (Not mailing address) [Flood r Fire F_ Liq F_ Landslide LFN//A� Floor Suite No It 2-21 Cobs f HW L , uNRUZ� (- 8CAC ( Cf rr Description of Work Y'iLIES LiftIE-Foie- 1AKE # Storiess # Units (if Res)s Valuation $ New/Add SF�— Remodel SF �— Garage/New/Add �— Material/Labor/� OWNER'S NAME Last First Owner's Address Owner's E-mail Address ll'' spy ,� r City N ��{il°W State Zip Telephone�0 APPLICANT'S NAME Last / First 6-F Applicant's Address Applicant's E-mail Address l Vqc/ CESfig ECMVI 6a PkWK. _ �oRG - @ PFW-NZC_,6GC_C©t1 ----� City Sn � Zip �{zil Telephone% _�}N_._(}l �� _ State �{cJ^2-�_ ARCHITECT/DESIGNER'S NAME Last First- -_ Lic. No. F_ ArchitectIDesigner's Address Architect/Designer's E-mail Address City State �— Zip �— Telephones -- ENGINEER'S NAME Last F Y �ks©( j 0 Lic. No. S- P 2 )a l2t First Engineers Address Engineer's E-mail Address s)3KI C©Mra�ru�ec'UrR -DR. sv;fie<IE -Mi�� / SC -Cowl _ -_ - -- - city � _i-o2c� State CA Zip - 9Z63o Telephone T _'Z(D6 -`y9 2,9 CONTRACTOR'S NAME/COMPANY FCC V�1�1��(�IC CnNS C rl OIA% Lic. No. (O 3 607 92 Class Contractor's Address Contractor's E-mail Address ILiLt4 CLS>`{R_ F!- CM/})61 PKWrY 3oIRG•�- z(J G�. Co City (5-0 State I -" Zip 92 i 3 Telephone CJ 4 / - 'L"-i - 60 f °l ss 3 3D Z`f SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NT 12C 50997 — 6 U0 USE ZONE DEVELOPMENT NO PLAN CHECK FEES $