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HomeMy WebLinkAboutX2020-2972 - Permit Application?r{ntForm _ Worksheet for Combo Building & Solar Permit Application o�a r City of Newport Beach -Building Division (—C©mm'1 esidential 9 /= NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL c U1466 [Grading j Drainage �Elec rMech rPlum cuvdcutF Cu rd Fm Project Address (Not mailing address) r— Flood f— Fire r-= Liq f— Landslide rN/A Floor Suite No 71 Q ILLI c-) T"1z;F_>P4 Description of Work Use F—Const Type F_ L1�-, HT1k9 #Stories #Units (if Res) I L'jc:�F- sal- . t 1_113 6th L{ F 1 y-ruf-is -�* Valuation $ Material/Labor New/Add SFF__— Remodel SFiZ Garage/New/Add--' fit% ��Ci OWNER'S NAME Last r.� CC6-1 l_ First Owner's Address Owner's E-mail Address L25 1` �t Si; — City ILJS rlt StateE7 Zip 9 7gW Telephone 7t -j., 7i, Gj77e-L11` APPLICANT'S NAME Last First - - Applicant's Address// ' Applic`arifss E( -,mail Address �t r� I(., �-} City L7ST(, State FCA •, Zip C- 5260 Telephone COL- ARCHITECT/DESIGNER'S NAME Last First r -- -- Lic. No. F_.----_ Architect/Designer's Address Architect/Designer's E-mail Address City State �-._— Zip L-.-_----- Telephoner--�---- ENGINEER'S NAME Last Yar LI First��t Lic.No.c�jb Engineer's Address - Engineer's E-mail Address City 1\i Cv State Zip q�c1v�=1 r� L�� Telephone Z i1G -�j a 6�Z�J t CONTRACTOR'S NAME/COMPANY Pim `� OD t� S� 2 (J)C (� 1 Lic. No. 7 ( -MEi-class Contractor's Address Contractor's E-mail Address 1 �f Attji �, gFtc e j�N1 t�- COI\1S7T,` LxTlt)yv pI' City ).CJST(i't• -:.._. State C Zip 627��. Telephone'�� `1�✓�('�i�1°C0 SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $