HomeMy WebLinkAboutX2021-0151 - Permit ApplicationE7) 'nrFacm�j Worked for Combo Building & Solar Permit Application 014",
F Cc aI TResidential {{// City of Newport Beach - Building Division X.20,21- D15/
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building rGradingainage r: Elec FMech r7 Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) [ Flood r Fire r Liq r Landslide i'� "A Floor Suite No
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F_
Description of Work
Use F—ConstType F_
Aoklo s�
# Stories # Units (if
Res)—Valuation
s
Material/Labor �J/
New/Add SF Remodel SF
Gara a/New/Add I
OWNER'S NAME Last
First
Owner's Address
Owners E-mail Address
City F_ State Zip F— TelephoneF_
APPLICANTS NAME Last �669//(a✓�/
First e/'!!il___ --
Applicant's Address /
Applicant's E-mail Address
36 -:�10 g,�-rc- s� *126
City A/5 State c?C
_ �-
Zip Telephone
�` 9Y9 A77-/777
ARCHITECT/DESIGNER'S NAME Last
' First Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City � State F_
Zip I— TelephoneF—
ENGINEER'S NAME Last
First F_ Lic. No.F—i
Engineer's Address
Engineer's E-mail Address
City State
Zip F — Telephoned
CONTRACTOR'S NAME/COMPANY iL,_r- f �U 1 _/�S Tr C Lic. No. O� 3k(e Class
T� ! h l r/l
Connt2tractor's Address
Contractor's E-mail Address
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L°I i In �Jc a��ui Lat�l
City A11F State 7*__
Zip ,�l/ I Telephone—
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SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT�LAN
V CHECK No/ s �
¢
USE ZONE DEVELOPMENT NO
W,
) ` V N CHECK FEES $