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Home My WebLink AboutX2018-1708 - Permit Application (2)Cil X2Olg -I�'D� i;".:=PPInrQrrri'°,•;�Wo sheee for Combo Building & Solar Permit Application ❑ Comm'I ❑Residential A! City of Newport Beach -Building Division r (\ NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL �•,.o„.� ❑Building ❑ Gradingamage 110Elec [:]Meth ❑ Plum Cu ydcuc Cu Fill Project Address (Not mailing address) E] Flood El Fire [7Liq [7 Landslide N/A Floor Suite No tl t s N; Description of Work Use Const Type FVB l�%i �e lac+evvrch fT� ^�� # Storied , 1 # Units (if Res)❑ h Remodel SF Valuation New/Add SF S 700 _/ _ n( Garage/New/Add �1//� Material/Labor OWNER'S NAME�t Last ITQi i aV P.eY✓Y'0: IJ -First -- Owner's Address J Owner's E-mail Address ilk s _ CityNyw prT6ecuck State ® ZIP 9 2 to t7 Telephone APPLICANT'S NAME Last SOM e CL5 0_r4iFeof I First l Applicant's Address Applicant's E-mail Address City I State Zip Telephoned ARCHITECT/DESIGNER'S NAME Last l . I I,O Zzi First ©� ,e i n L�N��'"� Architect/Designer's Address Architect/Designer's E-mail Address 222 1 g5 PcLse4* ZS i org�e m. 1tozzt Csi yr • coil-, City (R�(� State ® Zip 26 8 B Telephone 6 9 7 - 779 ENGINEER'S NAME Last First QH`r Lic. No. IILto Engineer's Address Engineer's E-mail Address City � State Zip Telephoned CONTRACTOR'S NAME/COJNPANY Lic. No. Q� av� Class® Contractor's Address - ConctoaE-mail Address City State Zip Telephoned SETBACKS REAR SETBACKS FRONT PERMIT NO. V2n • ETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. `I -S I pj .201 U E ZONE _ DEVELOPMENT NO PLAN CHECK FEES $ 4 Z-7.