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HomeMy WebLinkAboutX2017-2314 - Permit ApplicationXM111— 23Iq Worksheet for Combo Building & Solar Permit Application F Comm'[ Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL V$uilding F_ Grading F -Drainage XElec r�Mech �lum Cu Yd Cut r Cu Yd Fill Project Address (Not mailing address) 1- FloodFire j- Liq j- Landslide F_N/A Floor Suite o � arc ��►�� I- Description of Work Use I Const Type -8 �' 0 r W/ term npo Aw # StoriesIFT # Units (if Res)F— IU j�Ey,JO n ©/ t ma" P [ trpidixi N i�lL Valuation $ C2) New/Add SF I i 3/Q& Remodel SF I 410 Garage/New/Add Material/Labor — OWNER'S NAME LastYI � _— First _P/VE Owner's Address Owner's E-mail Address 3`t td1 i1, mt(Jl& 1 City pvq N V State ( i Zip j Telephone APPLICANT'S NAME Last r&oiwy First VRD Applicant's Address Applicant's E-mail Address Z31b3 UA C,� y. 0161 Dhdrp0-ar,i3A-ciJvvl City td160 4aLs State I Tr' Zip q '3 Telephone /LJJn-n37 J0J6 ARCHITECT/DESIGNER'S NAME Last I Architect/Designees Address z3 c e3 (P C W—. A City r�J� XS State F ENGINEER'S NAME Last' kdAelP" Engineer's Address City txu l ao State FTA__ f' First Lic. No. FC27140 / Architect/Designer's E-mail Address Zip �'Lbd'3 Telephone) g� V3-JJJ0 First�� / Li No. C ,'36 Engineer's E-mail Address lug �rY1hi/t/c�i2l� ciJv�J Zip Qy Telephone 4? --ZL1 j LJjXV CONTRACTOR'S NAME/COMPANY Lic. No. 10 (5500 Class g wYSs GtZt�u� 1 �- �- Contractor's Address lr1 e� l� lcy Dv— U/ s City //ZV//Vc State - Contractor's E-mail Address rO0 w�S53I1)JP.to Zip air TelephoneGli�'i-3Z5~,Ssi� REAR SETBACKS FRONT PERMIT NO. I LEFT SETBACKS RIGHT PLAN CHECK NO. �, (7EVELOPMENT NO PIAN CHECK FEES $