HomeMy WebLinkAboutX2017-3763 - Permit ApplicationOm))
Wor ` / et for Combo Building & Solar Permit Application
j Comm'I Residential y City of Newport Beach - Building Division
,® NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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OWNER'S NAME Last I AAI rd yAN
Owners Address
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City 106,41 vc State ! OA
APPLICANT'S NAME Last 4 A1rC2 fy,Lf YV
Applicants Address
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City State
ARCHITECT/DESIGNER'S NAME Last j .TA it cenT
Architect(Designers Address
City�Gf��E State II G
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Const Type
# Storiesf # Units (if Res)
IvaluationSQ Opp
Garage/New/Add Material/labor
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Owners E-mail Address
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Zip / Telephone) 7fgr-325 -6 75 %
First! 41;;;,4 / V I
Applicants E-mail Address
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Zip �— TelephoneF_
First jgNN/S Lic No. �—
Arc�h`itee/ct/Designers E-mail Address
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Zip, q 3 Telephone (g5 ,la - 547,1
ENGINEER'S NAME Last'/-/ V S � e -,First I Lic. No. �
Engineers Address
S GO/t/N 14/A1i///5
City 1 //t VIIV6 State _ GA
CONTRACTOR'S NAME/COMPANY i JIW
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Contractors Address
City ( State �—
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
JUSEZONE DEVELOPMENT NO _
Engineers E-mail Address
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Zip 9a 6. 7,62 Telephones
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Contractor's E-mail) Address
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Zip I Telephone®
PERMIT NO. >� U) 17-376S `
PLAN CHECK NO. Z63/ I - Z-0 1-7
PLAN CHECK FEES $ ?;(,Z 17 0