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HomeMy WebLinkAboutPV2023-0417 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application City ' F_ Comm'I F- Residential Y of Newport Beach -Building Division NOTE: PLAN CHECK FFFS nl IF AT TIK= nc c1 IDAA17T.I U r wilding r Grading rDrainage j_. lec F Mech � i_ (— Plum CuYdCutl CUYdFill Project Address (Not mailing address) F_ Flood I— Fire r Liq F Landslide FN/A Floor Suite Nc 3 I l po,, - F Q_ V_� Description of Work Use %R`.onst Type So�ef— C)Q-NO)" # StorieOL;;*� # Units (if Res)[_ u r/ - yL Valuation$ �'_ I Material/Labo 1'Y/'/ V New/AddSF�— Remodel SFF -- Garage/New/Add F— OWNER'S NAME Last — �r F\45 V",Q,�\ First �; tl a� Owner's Address Owner's E-mail Address t ` — City I c ro e State Fe-W— Zip �— I 2L � Telephone�— APPLICANT'S NAME °v Last e r-Zcee( First((�o /3 r c (c Applicant's Address Applicant's E-mail Address 1, City 1 (1 State �— p 70f S f p � I `- S Z 9 G ss Sr S Zip ( Tele hone ARCHITECT/DESIGNER'S NAME Last First �— Lic. No. �— Architect/Designer's Address Architect/Designer's E-mail Address City State �— Zip F_ TelephoneF— ENGINEER'S NAME Last First F— Lic. No.F_ Engineer's Address Engineer's E-mail Address City F State �— Zip F_ TelephoneF_ CONTRACTOR'S NAME/COMPANY (� -e��(4 C J Lic. No. 9�Z�� I Class Flo �e -5`9 o Contractor's Address Contractor's E-mail Address 2%5 -7 ,.s ,o k"'fl, \1 S 1n_o e C-0"q ,tt46�s� ,Cc City 1 JJ State Zip qd�5 j Telephone Y J r7 ? ( Ln SETBACKS RFAR RFT[xarue ronnir SETBACKS LEFT SE ZONE SETBACKST *11�1 rDE ELOPM n���„ m