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X2020-2709 - Permit Application
print Farm' Worksheet for Combo Building $ Solar Permit Application o4�EW� m j- Comm'I Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Building F Grading Drainage I(Elec jKmech lum uv dFinProject /NJA Addresss (Not mailing address) f- Flood irei Landslide Floor Suite No _7 tam-_�k__�_ Description of Work AID SCCkW FUXt` l ldtW4 C- (jK(S%7�./4 Use I Irk C e F yp �w� jx, ww2l"-- t7amsErl ajasr r-dCCC"G(W7 jm- # Stories�l #Units (if Res) # Units Wgaa3 ju'a�— t��l'� ��;� ln�cnvtt Z r _ Valuation$ Material/Labor lir" New/Add SF S Remodel SF g�— Garage/New/Add-! OWNER'S NAME Last First I _&9XMM JIT Owner's Address Owner's E-mail Address City Neqb< State Zip 1 _474J7 Telephone 766 - q'Co - Z773 APPLICANT'S NAME Last- First zAUlfi Applicant's Address Applicant's E-mail Address -Z9183 pa- 1 MCI) V116AV4 .6" City 1 CASCVVIA fits State Zip "[a_3 Telephone w -F ?3-toj-z ARCHITECT/DESIGNER'S NAME Last owe FirstF5(ii Lic. No. I C'> 2`jq 0j Architect/Designer's Address Architect/Designees E-mail Address 2 -?M3 M 06a l VU, _ con City I (*(j,,PA -s State I Co Zip e! 14y, Telephone C'" - S-73-/65-0 ENGINEER'S NAME Last14- M First ;i�v Lic. No. c'ZT734 Engineer's Address Engineer's E-mail Address 16 66Q_WW fuP-6crwawvwazuV6." City I `nji-i(At State I -' Zip Telephone 'M -2qS - g(J o CONTRACTOR'S NAME/COMPANY , , I yss T j (� Lic. No. In ooh Class w l J 4Y 11 Contractor's Address Contractor's E-mail Address (�t6 746wlc5h Dr Cityr w_vvNa State TS Zip ©IZ6(<6 Telephone qp-325-5J`1C SETBACKS REAR SETBACKS FRONT PERMIT NO. 61 SETBACKS LEFT SETBACKS RIGHT PLAN CHEC NO. 2ELq�� USF 7()NF r.�..�..r....-. r ... ...... ... ....... ���...,