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HomeMy WebLinkAboutPV2019-152 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application �o °rm I—, Comm'I 1R Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL G.�,o.�" r Building F.- Grading rDrainage 6(Elec rMech F-, Plum cu Yd cutF cu Yd nuF Project Address mailing address) F' Flood (-! Fire F Liq r" Landslide FN/A Floor Suite No q(Not 1 60iO fC7lL-l�A---- .. Description of Work Use Const Type �IArc vtn #Stories # Units (if Res)F_ 1t/IVe,2%G2S �1i 125A SIA�IYI�1 (I� 51nw\�ot�x4 {/y)p{�{%lvw��x � { Valuation 5 Z7j 000 Material/Labor New/Add SFFi Remodel SFF ' Garage/New/Add F_ OWNER'S NAME Last -l. .. _.. __.First Owner's Address Owner's E-mail Address xl�t(_¢avte�yalneo.ca�. City �I', �' } L+� ',, State CA Zip ! OC>/ Telephone310 7 Iq 6?M APPLICANT'S NAME Last XAYIC�P-1'�__._ -. First. Applicant's Address Applicant's E-mail Address I0IgZ AS_likbl7v\ 17tZ A✓I-ilu�lc/5�1 pLk21 ��o�a�.con\ )C City 1•.lWItWA•''0A FetiG� State G� Zip .qZ,(�-ltp_-_', Telephone GJZD1j is 5Vo1_ ARCHITECT/DESIGNER'S NAME Last First Architect/Designees Address Architect/Designer's E-mail Address City State F-77 Zip [77-77 Telephoned, ENGINEER'S NAME Last �-._ First Lic.No. 7678 LL_ _ !; Engineer's Address Engineer's E-mail Address 3cco C. 3>eck e fUn } zo( t 1 14 © a�asolartpjavl5,c n City �j�� - _. State CA._ Zip .gZBZ (___.. Telephone CONTRACTOR'S NAME/COMPANY 1 L, � C G.J_._ Lic.No. gr.141(Gj.'',, ClassG-Z�, Contractor's Address_ Ciontractor's E-mail Address 10(611- Cf/LLATtbV\ PE IV1I ON(Azbo 2" O � City ';_Ayif4oA �AGk State GA.... , Zip _"IzGeyo _.. Telephone �'z 41q% yf{�1_-.. SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $