HomeMy WebLinkAboutX2020-0893 - Permit ApplicationX2DZo o �
,Anntxorrri, °, Worksheet for Combo Building & Solar Permit Application 60,
r Comm'I r Residential City of Newport Beach - Building ivisionNOTE: PLAN CHECK FEES DUE AT' AF ll [T
/Building r Grading F-,Drainage r lec r; Mech f— Ply Yd Cut xxl` Cu Yd Fill I
Project Address (Not mailing address) C Flood ( Fire Liq r Landslide r Floor Suite No
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Description of Work Qp wa* AP*A
FF3 Const Type Flazg
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# Stories: # Units (if Res):
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Valuation
Material/Labor50 J
New/Add SF k 13y s.f I Remodel SFF_ Garage/New/Add r
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OWNER'S NAME Last-BL-CCt KAO First rDA�IE ppp V6,C45t.
Owner's Address Owner's E-mail Address
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City �w�1W19 '�jE�� State �4 Zip a1G5% Telephone ill 3a3-518G
APPLICANT'S NAME Last `,Thar)First 5-1'"1-
Applicants Address Applicant's E-mail Address
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City s0 Jlsap — State — Zip �1215t Telephone P-1491 617•9704
ARCHITECT/DESIGNER'S NAME Last ._SrArip _. First 57sJ15 Lic. No. -ZR9tS
Architect/Designer's Address ArchitecUDesigner's E-mail Address
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Zip city��150 lE p
I J i State �� �iZGTelephoneSL (�1��G17-Q13U4
ENGINEER'S NAME Last {QggA{rp5 First —'; Lic. No. 376%
Engineers Address Engineer's E-mail Address .
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Ciry �RdIrIE State CA ZiP CIZlr�2 Telephone �l}q 752-OGa�,
CONTRACTOR'S NAME/COMPANY Lic. No. �j �) Class
CLI.S"h _... (O�
Contractors Address Contractor's E-mail Address
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City ! t cad 3NCiC State �.� ZipF Telephonegjt�-�Z
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SETBACKS REAR SETBACKS FRONT PERMIT NO. )(14" - 041
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. nytr. Uu
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $