HomeMy WebLinkAboutX2017-3922 - Permit ApplicationCom,�- C Aa l Oaf
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—r"�vrl eet for Combo Building & Solar Permit Application 911
City of Newport Beach - Building Division r Comm'I Residential NOTE' PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding' I—Grading j—Drainage _�SlecMech Plum CuvdCut F CuvdFill r
Project Address (Not mailing addre ) r Flood ` Fire F- Liq [—Landslide F_N/A Floor Suite No
Work
Descriptions of
Use F_ Const Type
# Stories # Units (if Res)l
Valuation $
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New/Add SFF— Remodel SF�) rJ f� Garage/New/Add F
Material/Labor
OWNER'S NAME Last First �G
er
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Owner's Address Owners E-mail Address
City �. State I Zip F— Telephone
APPLICANT'S NAME Last First i JV%�/
Applicant's Address Applicant's E-mail Address
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City 4" /t A State F�W_— Zip q Telephone
ARCHITECT/DESIGNER'S NAME Last Lf/ 0 First Lic. No.
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ArchitecUDesigners Address Architect/Designers E-mail Address
- - .._ .--- _ -- --__- _. ._ -_. _. _- ___-.
City F State F Zip Fs. TelephoneF—
ENGINEER'S NAME Last /D � First IQ J Lic No.F j
YY
Engineers Address Engineers E-mail Addressr J
City State F Zip �. Telephoned
CONTRACTOR'S NAME/COMPANY Lic. No. F— Class[ --
Contractors Address Contractor's E-mail Address
City State F_ ,Zip, TelephoneI
SETBACKS EAR SETBACKS FRONT PERMIT NO.
RIGHT PLAN CHECK f l
SETBACK LEF SETBACKS
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USE ZON DEVELOPMENT NO PLAN CHECK FEES $ f" m