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HomeMy WebLinkAboutXR2023-0694 - Permit Application__ prihtfmj Worksheet for Combo Building & Solar Permit App ° F Comm'I rResidentiall City of Newport Beach - Building Division 1� NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL C�\ l "uilding (- Grading [-brainage i` Elec (- Mech F- Plum Cu Yd Cu[ Cu Yd Fill 2© Liq [- LandslideN/A Floor Suite No Description of Work I Lc �_CJA_� - - o�SOct+ n Address (Not mailing address) C Flood F_ New/Add SFJ - Remodel SFL I D©O Garage/New/Add �— OWNER'S NAME Last -�c�CTf-!� First Owner's Address Owner's E-mail Address City- State - --- - Zip Telep Applicant's Address - s c - -- ------ City / v f State -- - - -- - ARCHITECT/DESIGNER'S NAME Last Address City ENGINEER'S NAME Engineer's Address City l Last State Use ConstType s # Stories # Units (if Res)1 Fix Valuation 5 Material/Labor S0 0,90 art Applicant's E-mail Address zip Zb� Telephone �cl� 3©O 65�D -__ i __-.--- ------ Lic. No. �- �— First �//t��G✓l% Architect/Designer's E-mail Address Zip L U tJ Telephone First - Lit. No. Engineer's E-mail Address State Zip Telephone CONTRACTOR'S NAME/COMPANY Lic. No. �— Classs Contractor's Address Contractor's E-mail Address City State Zip �— Telephone X %ti SETBACKS REAR SETBACKS FRONT _1:ZZ - PERMIT N0. (f011) ce,I SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $