HomeMy WebLinkAboutX2020-2171 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application o4�EW�,,
F_ Comm'1 r Residential City of Newport Beach - Building Division xGC 7-0-7 C 71
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NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL G,,,oa
Building r– Grading rDrainage rElec F_Mech rPlum Cu Yd CutF Cu Yd Fill
Project Address (No`` t mailing address) r Flood (– Fire F_ Liq r Landslide FN/A Floor Suite No
Description of Work
Use F—Const Type F_
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#Stories #Units (if Res)
Valuation $ --7 5
Material/Labor
14
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New/Add SFF — Remodel SFF — Garage/New/Add i
OWNER'S NAME Last 1 44 qq in D1-) First I Lj I
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Owner's Address Owner's E-mail Address
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City � V GC S i l State CA Zip7? (p a Telephone % 2_'77--�i,5�2 r
APPLICANT'S NAME Last�First J1'.-
Applicant's Address Applicant's E-mail Address/`
107? ? Car-6,na t�y) rsr,eerA e yOA ao s co Y"
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City CeSTA_ /�i iii State G . Zip ��PZ� TelephoneF7 /�� 38�—J ( /
ARCHITECT/DESIGNER'S NAME Last I— !First F', Lic No. F_
Architect/Designer's Address C / _rV 5 P ArchitecUDesigner's E-mail Address
City State �— Zip—Telephone—
ENGINEER'S NAME
�— First'' Lic. No. F_
YLast
Engineer's Address C / Gp Engineers E-mail Address
City � State I— Zip F_ Telephone—
CONTRACTOR'S NAME/COMPANY MASOV\7 JR PLUS Lic. No. 37/1, Class Bc
Contractor's Address Contractor's E-mail Address
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City C�5 / rartic6 @ mas61 bca vn
1 l f S� State � / Zip [F Telephone j� S0
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SETBACKS REAR SETBACKS FRONT PERMIT NO. 10 b 44 1
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK O.' i,
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $