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HomeMy WebLinkAboutX2018-0316 - Permit ApplicationXZo�c6 -c)�i& Worksheet for Combo Building & Solar Permit Application [- Comm'[ [- Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL PIE [—Building r Grading F -Drainage [-Elec F_Mech [- Plum Cu yd cutF Cu Yd Fill Project Address (Not mailing address) C Flood [- Fire [- Liq F_ Landslide CN/A Floor Suite No / /906 Description of Work Use F_ Const Type I # Stories #Units (if Res) ✓j,1 0 L_ C7( 0^.) oi` t S t 2 valuation $j c7 New/Add SF� Remodel SF�— Garage/New/Add S Bp Material/Labor / / OWNER'S NAME Last %2t� (_vS�co,v bv+st l> Ow//ner's Address Owner's E-mailAddress "T' 2-O Ot—.� i� �t---'i �v2% ��✓9 ?/^V I J C� tS SLOT v.�il f%OmzD. r City 1. r 3 State ��_,� Zip 82663 TelephoneF7 9, 300, SI S2 APPLICANT'S NAME Last S ! S 0 ty,,Cy, First Applicant's Address Applicant's E-mail Address City State F— ZipF TelephoneF— ARCHITECT/DESIGNER'S NAME Last bFa First Lic. No. F_ ArchitectlDesigner's Address Architect/Designer's E-mail Address City State F_ Zip F Telephone ENGINEER'S NAME Last �� First— Lic. No.F— Engineers Address Engineer's E-mail Address City) _ State �a. Zip I Telephone CONTRACTOR'S NAME/COMPANY om Lic. No. F10 176 3 I- Class Contractor's Address Contractor's E-mail Address X 2°0 ©�t� 1� t � -✓D � t��/ O @ ilc`�Y_G0S-tom (.(ovttc, co m City �._ -__._ _...-..- State F Zip,.�j2GG� Telephone lL{�_.�'�(�0•-S1S2 SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $