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HomeMy WebLinkAboutX2020-2708 - Permit ApplicationPrint Form Worksheet for Combo :Building & Solar Permit Application F Comm" Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL wilding Grading rainage YElec �Mech Plum Cu vd cut Q cu vd Filll i_-Tt } Project Address (Not mailing address) F_ Flood F_ Fire F_ Liq F_ Landslide FN/A Floor Suite No Description of Work Use -5F ConstType # StoriesT # Units (if Res)F New/Add SF SF `2 Garage/New/Add �(/ Valuation $ Material/Labor &Remodel OWNER'S NAME Last LZE�{ , 1 First Owner's Address Owner's E-mail Address Ai— Z�- J/�Nfil�d�l�L�—/� —oEy<1 City kiEaw, cl�' 6State I cA 1 zip s--Telephonel rZ I �(pZ APPLICANT'S NAME Last h��1 � �+� U First Applicant's Address Applicant's E-mail Address D _,:�-> C Lej FL,/v ititar L6 �M J C) e-L� a bv\ oV-L,C C�222���� City �N�11CTT� 6&L State Cf�_ ppp Zipl z64(6 Telephone 7_r � ARCHITECT ESIGNEW NAME Last C� First ff� r �� G�/� D �L Lic. No. Architect/ esigner' Address Architect/Designer's E-mail Address 63 C e_\,� a L t�ICQG� C f� City l � I �� f? State C� Zip z q{ 5 Telephone ENGINEER'S NAME Last ­5A-( &yv\, First Fyk s 1E F� No Engineer's Address Engineer's E-mail Address ��Lic. I&G( 5, -,z�-z29 Iy5Al,�(°--A �C�itiA City � tis In _ Ot.,State C(.�. i Zip Z7C ( Telephone G/ [ ,4z q CONTRACTOR'S NAME/COMPANY �h / � Lic. No. Class Q oN�e— Contractor's Address Contractor's E-mail Address i J % Z 2- %�Ov yp�j ta�y city�� State- Zip Telephone SETBACKS REAR SETBACKS FRONT O PERMIT NO. xw2 /%%^��� SETBA S L'EF,, SETBACKS RIGHT PLAN CHECK NO. ��l�kj �� 6M C) USE Z NE DEVELOPMENT NO __�� _ PLAN CHECK FEES $_