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HomeMy WebLinkAboutPV2023-0389 - Permit ApplicationPrint Form j Worksheet for Combo Building & Solar Permit Application qriggvm-�,Ni r Comm'I C- Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL F-Building r Grading rDrainage rElec rMech r Plum CuYdCut CuYdFill l Project Address (Not mailing address) r Flood r Fire r Liq r Landslide F_N/A Floor Suite No Description of Work Use Const Type # Stories #Units (if Res) Valuation New/AddSFF— RemodelSFF__ Garage/New/Add Material/Labor I OWNER'S NAME Last 6<'lAiA+ 'Y�Chln First o,rjs Owners Address Owner's E-mail Address C� f i s� grly, CoY^• JTelephone City N �W E (( �aC 4 State ;fT Zip 1 % I APPLICANT'S NAME Last , J J 0First Applicant's Address Applicant's E-mail Address City State Zip I Telephoned ARCHITECT/DESIGNER'S NAME Last First F__ Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City State F_ Zip F_ Telephoned ENGINEER'S NAME Last YOvtl` �,DkCn(- Tjct(r.j First Lic. No. 7907N Engineer's Address Engineer's E-mail Address City � State F_ Zip F Telephoned CONTRACTOR'S NAME/COMPANY �Y hv,h r J y S �h ,- Lic. No. F714 4115 Class F- (o J Contractors Address Contractors E-mail Address City � State � Zip � Telephone SETBACKS REAR Q� SETBACKS FRONT PERMIT NO. y y Wt/J — ©' C) SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. (,t_/Z Z3 - ` M USE ZONE DEVELOPMENT NO PLAN CHECK FEES $