HomeMy WebLinkAboutX2021-3054 - Permit Application (2)Woret for Combo Building & Solar Permit Application
F Comm'l Residential ( ?< � City of Newport Beach - Building Division,
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBIVII
[-,Building r.- GradingFN-Ptenage r- Elec F_ Mach Plum Cu Yd Cut Cu Yd Fill
r F
Project Address (Not mailing address) F_ Flood F-, Fire F-, Liq F.- Landslide 1 -N/A Floor Suite No
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Description of Work
Use F7 ConstType
240
# Stories r_____ #Units (if Res)_
- - ------ ----
Garage/New/Add Valuation $
New/Add SFJ Remade[ SFF77777 Material/Labor
OWNER'S NAME Last First
[7;5ms, ---- -------- ---- ---- — ---------
Owner's Address Owners E-mail Address
Tzvz6D_'R - e� ry-t
city Statet- Zip Telephone F%6Gql
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APPLICANT'S NAME Last ------ First L -Z
Applicant's Address Applicant's E-mail Address
Lscnv' ------ &0,
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City State ZIP Telephonel 3l, - *S)(-7 - So` -6
i ARCH,rECT/DESIGNER'S NAME Last First Lic. No. F_
----- ---- - . ... .......
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Arc,�'ect/Deslgnees Address Architect/Designer's E-mail Address
City — - - ------- - - - ----------- -- - State zip TelephoneF77777
ENGINEER'S NAME Last First Lic. No.
Engineer's Address Engineer's E-mail Addresemi
- - --------- - - - --- -- -------- -- - - - - -------- - --------
city State F_ zip Telephone
CONTRACTOR'S NAME/COMPANY 11eC
CGt Lic. No. Class
Contractors Address Contractor's E-mail Address
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City N.. A State Cts zip Telephone 7/e) -126 7 &OS -6
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONEEVELOPMENT NCO/
D PLAN CHECK FEES $