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HomeMy WebLinkAboutX2018-1708 - Permit ApplicationXIM _ 15N0 P int Form Wo shee for Combo Building & Solar Permit Application -Building Division o NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL ❑ Comm'I ❑ Residential City of Newport Beach [-]Building ❑Gradingamage 0(Elec ❑Meth ////N,QETBACKS ❑Plum Cu Yd cut Cu 'FillEl Project Address (Not mailing address) El Flood ❑ Fire r7Liq ❑Landslide N/A FloorSuite No Description of Work Use ConstTYP e 11-I3 # Stories�y ,� # Units (if Res) W j (@ fdcL� Y Ch �1—{ pica 1aUorS ym tI" - .. New/Add SF /V%h _ Remodel SF LGarage/New/Add t//} -- Valuation OO 0 Material/Labor i OWNER'S NAME Last perYea. 1rFirst _ Owner's AddressJ Owner's E-mail Address � s H- --pr- CityNgwppr�_ �eac� State ® Zip 9 66 0 Telephone APPLICANT'S NAME Lastl,50,yyre 0-!5 0-ec�j fe First Applicant's Address Applicant's E-mail Address City -- 1 State F-71 Zip F7771 Telephoned ARCHITECT/DESIGNER'S NAME Last11/tj'g II' OZZi First L' N ©l i h r Architect/Designer's Address Architect/Designees E-mail Address 2_2.2) 35 T—!--t'Qrea� 2S i 0rgie (@ mig110'76 rsfc�vr •Bohr City V\S _ State ® Zip 26 g Telephone ¢ -6 y 7 - 1 � g ENGINEER'S NAME Last LL a -a'- First Lic. No. 1210 Engineer's Address Engineer's E-mail Address City State F777 Zip Telephoned CONTRACTOR'S NAME/COJNPANY� B I Class �I �u��4 Lic. No. g`� Contractor's Address - Con ctor's E-mail Address City L__7_71State F77 Zip Telephone SETBACKS REAR SETBACKS FRONT PERMIT NO. ) �/� 1n Ig • \1pjj LEFT SETBACKS RIGHT PLAN CHECK NO. hz I, '2Ol v E ZONE DEVELOPMENT NO PLAN CHECK FEES $ PFA