HomeMy WebLinkAboutX2020-2328 - Permit Applicationprint Form t for Combo Building & Solar Permit Application oF��Pogm
Comm'I R Residential 9f jl City of Newport Beach - Building Division Zp2o
t < NOLF; PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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'Building F_Gradingmag E c (-Meth r- Plum. cu rdcuc� Cu dFill
Project Address (Not mailing address) I- Flood r Fire j"' Liq r Landslide N/A Floor Suite No
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Description of Work_
Use Const Type v (3
# StoriesFa—Units (if Res)F
11 ����� �LL�
rcoot -��A� r_d SO'Car' c -W/ Y��GY'vl1'1�wnGr'S
(23) 3 Soo �p na �5 @ �.�Cj lL �- J *gk ,. 79 a� lj%-
Valuation $
Material/Lab
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New/Add SF Remodel SF Gara a/NewlAdd
OWNER'SNAME Last First l,e,vin
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Owner's Address Owner's E-mail Address
1444 61 Modem ve Lyvtch.lz6vihCL wt6t;1..GZ�M
City I Nth i'Cl\ State (CA Zip G'Z663 Telephonegt)y_6,37,31g
APPLICANT'S NAME LastPs Z, First 7C,,,�,k
Applicant's Address Applicant's E-mail A dress
9099ZaGk,Rsem@�sj,por,,�-bysu,,sokl,C,o�,
City State GA Zip FF_F407Telephonegs)��-C%��
ARCHITECT/DESIdNER'SNAME Last First F_Lic. No.F—.
Address Architect/Designer's E-mail Address
City �—_-_State F_ Zip I Telephoned
ENGINEER'S NAME Last �khn�h' � First 0C nax) vh,- Lic. No.[C ftOS3
Engineer's Address Engineer's E-mail
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City _ _ Y'�Q✓b.IG State -G' ZIP 1. Telephone 747 -31 -SW/
CONTRACTOR'S NAME/COMPANY �y� y�y .SolJitcMS Lic. No.'$3aS Class
Contractor's Address/ Contractor's/ E+ -mail Address
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1406!5 � .ta ¢I N� I�� ZaeJ� .Ti51�ef�Sur��Ot, pr69 SuyvsolctcGovt
City qt ,�State FCA Zip qj§�-7 Telephon $) tjff,,S-
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 4
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $