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HomeMy WebLinkAboutX2020-0982 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application somesso, r Comm'I �( Residential City of Newport Beach - Building Divisionr. NOTE- PI AN HF(`W =PQ ni up nr -r�..� 1. ¢yr-UBMI IAL4i I-31 'Building r Grading F -Drainage r Elec r Mech F- plum Cu Yd Cut cu Yd Fill T Project Address (Not mailing address) r- Flood F_ Fire F_ Liq r, Landslide rN/A Floor Suite No g 6 b I Tvy__o o- r L v Ale, 63t,,A, 42 o �� r r- Description off Work Use Const Type �—'..... ' �Z 1 nC�• 'fZ.lr+�e."zL 11 A1c�SS Oarr,:�-i D+l� # Stories' its i Res New/Add SF�—I Remodel SF Garage/New/Add j a aerial La h Material/Labor) ".. OWNER'S NAME ,,{{�� Last i/awLc \� First 7p T8 f -e, Owner's Address _.. Owner's E-mail Address City Ne,✓��a.-._oh__.State,f�- Zi , - p -1 Lr2S TelephoneF— APPLICANT'S NAME Last 1 _�V-L�ct^✓�_... First I iYiv- Appliliic)ant'ss Address Applicant's E-mail Address f w ('e-& yrs • PP City State L(� I Zipqz _. 7Q5 . Telephoned—'- ARCHITECT/DESIGNER'S NAME Last First F ..... Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City _. State �— ZlpF_ Telephone'' ENGINEER'S NAME Last ..,V� (� First ----- Lic. No. 1/ Engineer's Address _ Engineer's E-mail Address City __. _. State F_III� _ F_ Zip I Telephone— CONTRACTOR'S NAME/COMPANY � r �Zos2itun(-anSti„vF,o_ �-.n. Lic. No. `�Qj0Q'S(�J _ Class�r-' Contractor's Address Contractor's E-mail Address 1 Ic,K- I"d/'G�,,,� !L1� t�'tH aI.CO•Y City �jcwd-at %�,.u,�.._ State ti�� Zip Fq z JO TelephoneJ� 71Y-727-7yu7 SETBACKS REAR SETBACKS FRONT PERMIT NO. XzoZ© —O L e Z SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. �•7©� Z_VJ USE ZONE DEVELOPMENT NO PLAN CHECK FEES $