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HomeMy WebLinkAboutX2018-3262 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application r Comm'I (` Residential City of Newport Beach - Building Division g NOTE' PI AN CHFr:K FFFs nl rr errnec nr oDear rXBuilding f- Grading (Drainage lec r yl Cuvdcut� V / Cu Yd Fill Project Address (Not mailing address) r Flood r-• Fire r Liq r Landslide rN/A Floor Suite No 22®1 Description of Work fW kempAA,S Use F Const Type �— Stories # Units (if Res)F— Rrg ooQXi&() nih (Z MOJA,L(.N 9 2w -I ceu -i 5 •5. LqundrJ Qemo�s 10.43 el 0.n d 9. Qn tot) , ph cl M v oo New/Add SF 3L(6 Remodel SF �t Ij82o � Rfp1acewAk s Garage/New/Add �— -8we . Valuation $ Material/Labor 3a9, aso OWNER'S NAME Last ZIT First C '(t$ Owner's Address 2201 t Owner's E-mail Address City IU �1' k (1� State CA ZiPr--- Telephone 7WKD7 APPLICANT'S NAME Last Richart First Jason Applicant's Address Applicant's E-mail Address 1041 W. 18th St, (A106) Jason@hchartdesign.net City Costa Mesa State CA Zip 92627 Telephone 949-422- 1191 ARCHITECT/DESIGNER'S NAME Last Richart First Jason Lic. No.— Architect/Designer's Address Architect/Designer's E-mail Address 1041 W. 18th St, (A106) Jason@richartdesign.net City Costa Mesa t1' State CA Zip 92627 Telephone 949-422-9191 � ENGINEER'S NAME Last JAMIL First Pashar Lic. No. C Engineer's Address Engineer's E-mail Address 751 SHASTA DRIVE I - City CORONA, CA State A I Zi P �---- Telephone �lt_ a - k24 CONTRACTOR'S NAMEXOMPANY " po5 Class U h�YT`EQ CON?lam-Ac-t-p12S Lic. No. _Icv� Contractor's Address Contractor's E-mail Address l01 ZS -60I T-S `l 'A`r[-IM Gift-6�6-e t3Uj 'QW ( I r'tU N rT6D. C U City State C Zip °(Z-job Telephone apt--7`cr7 SETBACKS REAR SETBACKS FRONT SETBACKS LEFT SETBACKS RIGHT PERMIT NO. �-' �© w�) PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ L/ 1