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HomeMy WebLinkAboutX2019-3467 - Permit ApplicationPrint Form : II VNorKsneet Tor UOMDO bunuing 6r solar r-erMIL HPPuaauvu o Comm'I Residential City of Newport Beach -Building Division 1'7 �_& 6� NnTF- Pl AN CHFCK FEES DUE AT TIME OF SUBMITTAL �"� 1 �-^"'� Building r; Grading rDrainage FvElec r Mech [7Plum CuYd Cutl Cu Yd Fill Project Address (Not mailing address) r• Flood r Fire F- Liq r Landslide F_N/A Floor Suite No �— a5C0 �ctynd�n� cPri7lel t��wY'�" bec�c� r �a��0 Description of Work Use W3 ` Const Type v C3 # Stories�j #Units (if Res) �r noymo>n o� e ►�,�von�ue �b plQ fi of F, yr p[Vic Igvt �VAY gs an Yy,,w VE0 wffW-s . Valuation bor � Material/Labor a r New/AddSF�— Remode��F `F ZO� Garage/New/Add �Ci OWNER'S NAME Last rn I L�Clle [' I First C41Q J Owner's Address Owner's E-mail Address _ 550nfwrxa bePTer Cyohird e vv(vv_coMPQMy -Coal City .�`,pVjfolQ+ Vach State C Zip qab d `, Telephoned .�A�n-d�'�%� APPLICANT'S NAME Last First CHRIS Applicant's Address Applicant's E-mail Address o nub � r rive �millarcP ,rvl� �oml�cnml . (om City Itwoa -beach i State F5\ ZiP qa(0b'5'', Telephone CjClq, jdo,�X,�J I ARCHITECT/DESIGNER'S NAME Last V Q� ,vl First I r ` 7 Lic. No. C a (09 1 Architect/Designer's Address Architect/Designees E-mail Address 185 W N7 Ste 5-00 RGV (� (ayvt4r,)01- Son. cow City scan Y)Le g a State Zip q0 D Telephone �Iq • )3 cl,,)�(✓ 3 ENGINEER'S NAME Last First—Lic. No.F— Engineer's Address Engineer's E-mail Address City State r — Zip [—Telephoned_ CONTRACTOR'SNAME)COMPANY /i n Lic. No. %bAj/�,Glass� ��''����lll..��J---rrr ""6-� Contractor's Address Contractor's E-mail Address 3(%A �ilP l�� � �P• MUrGZVhOrt�Ce�Pi�leCOe City State �—i 1 r Zip Telephone jl q, E `I. SETBACKS REAR - SETBACKS FRONT PERMIT NO. `�fjP9 G(. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK N,` - - ---._ - PLAN CHECK FEES $. USE ZONE DEVELOPMENT NOJ �i'