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HomeMy WebLinkAboutX2017-0557 - Permit Applicationx2Dn- (G 1 Worksheet for Combo Building, & Solar Permit Application 2 tial City of Newport Beach -Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL / 4n,oaF" Grading I—Drainage (— Elec r Mech Qlum cu ra cut ddress Cu Yd Fm (Not mailing address) I! Flood f Fire r; Liq r Landslide FN/A Floor Suite No � scription of Work Z 6170 6 g Q ^ 328 Use Const Type 3;�pc70 Stories # Units (if Res) New/Add SFF , Remodel SF Valuation a Garage/New/Add— , Material/Labor- OWNER'S NAME Last 1� Owner's Address )C First © T Owner's E-mail Address �1a 7 city State�[[['''��� G� Zip 26 0 Telephone— , APPLICANT'S NAME -' Last Applicant's Address First Applicant's E-mail Address City State �— _- ARCHITECT/DESIGNER'S NAME Last First Architect/Designer'sAddress _ Lic.No.� Architect/Designees E-mail Address City r— Zip State Telephones -- ENGINEER'S NAME Last Firsts-- 1� EngineerLic.No. 's Address b Engineer's E-mail Address ity State �— Zip Telephoned (TRACTOR'S NAME/COMPANY �j CokQ� s� njp Lic.No. [CE�pta, Class_ is Address YJ�" Contractor's E-mail Address �m Pecosvrrc��k�©c�� ', r _ StateZip ®��� Telephone y �t a0#7) � SETBACKS FRONT oS$'I SETBACKS RIGHT PERMIT NO. 5 p i 7- 00 3 PLAN CHECK NO. b3 — DEVELOPMENT NO PLAN CHECK FEES $