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HomeMy WebLinkAboutX2022-1841 - Permit ApplicationPrint Fmrn__ I Worksheet for Combo Building & Solar Permit A F—Comm'I Residential City of Newport Beach - Building Division ppllcation �fluilding NOTE PLAN CHECK FEES DUE AT TIME OF SUBMITTAL I grading -'Drainage F_Elec FMech (° Plum Project Address r� iption of Work h—k) New/Add SFF mailing address) C Flood Cu Yd Cut Cu Yd Fill Fire F Liq j— Landslide FWA Floor 2r g�ti I — L / VIA.4 /Itw0it-, IY �rGNGiv Hdv�2 Btt / .�GIG/.t�, �� S Remodel SF Garage/New/Addl� OWNER'S NAME Last War's Address 09V P/ First) Owners E=mail Address State -CI&P T. �•• "ftrvr NAME Last Applignt's Address b �si6ti City 5 VIM F ARCHITECT/DESIGNER'S NAME Last Architect Designer's Address Llc. No. Architect/Designer's E-mail d ss City!folo- e one State F— Zip P Suite No Use ��rj Const Type V- # StoriesF # Units (if Res)7 Valuation $ Material/Labor - First Z L`o lvlG boD�t�oc . CpCpM Applicant's E-mail Address Zit G -- Zip C¢V Telephone 72� — 6 - �_� First ervurNEER'S NAME Last ✓�.7/[7 First/ Lic. No. 3ZQ Engineers Address — --- 3�0 Engineer's E-mail Address - - -gr ' aMct� s city tCl`IZD&YG7— State A Z '� --- ZIP p26 27 Telephone- '¢`L 10z CONTRACTOR'S NAME/COMPANY ©uCi e�`LllLplo4 /) _ Lic. No. I Contractors Address tOV)%U1 Class) 85 ?L t� Mf f Contractor's E-mail Address 2AGC L)54-1 O�tl�pG COH city �lu,Uj Zip State L` Z_ - GG/; Telephone 7�¢ /U SETBACKS REAR f SETBACKS FRONT SETBACKS LEFT SETBACKS RIGHT-- USE ZONE � t "lit i PERMIT NO. PLAN CHECK NO. DEVELOPMENT NO t PLAN CHECK FEES $ 1241