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HomeMy WebLinkAboutX2021-0634 - Permit ApplicationI ""• i vvorusneet for Combo Building & Solar Permit Application �EW�, F Comm'I � Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL (F,.ic FDescripflon "°°" rading [-Drainage r"Elec j - :Meth F- plum cuvdcut� Cu Yd Fill ss (Not mailing address) Flood j Fire r Liq Landslide rN/A 14-10 n e Floor Suite No d� �� SIS ork hrunar r'Mo 0 e I Use Const Type # Stories # Units (if Res)s New/Add SFr -----' Remodel SFF7 % Garage/New/Add Valuation 5 i �` - -�FF_ Material/Labor Q'V VlJ OWNER'S NAME Last 13 riiHl Rer ' First Owner's Address Owner's E-mail Address city N"or"I DG4,k State CA 657 G 7 _ --- Zip r , 6 J •/ Telephone 7lT16-060_7 APPLICANT'S NAME Last First Applicant's Applicant's Address -- - - \ CA Applicant's E-mail Address City I !`V t P/ State r �� arm-- , 05 � E/f orf �,1 t �df� h 0 - I 1 Zip L�Ub Telephone �<j-��� ARCHITECT/DESIGNER'S NAME First� iQ\ r - Last Architect/Designer's I ( e, ArchitectlDt esignnerIs Address � ;,1� ct/D si n�E�ddress Li o. n eWI Me1b g Cc1 r•J� p._ (ill^ ,`(� � CityFul(+" i1 V C CrLY,� State r Lj 7 �� ��� ZIP Telephone ENGINEER'S NAME Last � First Lic. No.r_—_-_ Engineer's Address ///**Y Engineer's E- ail Address C` City - State ---___.._.. Zi_ _.. P Telephoner---�---- CONTRACTOR'S NAME/COMPAryY� r `11 ° V �✓ SJ I p�� P vv LIfVo• Class Contractor's Address < 3 q (] p Contractor's E-mail Address l i -- l"' t. City �f rnmd nco. ` %T� X01 5/ 1'. / D C©tn I �-C r5 <1C�IM t Y�Q C State f - A Zip 0`tj o p Telephone 1111i- _ SETBACKS REAR _ SETBACKS FRONT SETBACKS LEFT SETBACKS RIGHT USEZONE DEVELOPMENT NO PERMIT NO. `�.� (� - 06- PLANCHECKNO. PLAN CHECK FEES $