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HomeMy WebLinkAboutX2015-3753 - Permit Application,4\,YP04 Print DormWorksheet for Gou-nhu Building & Solar Permit Application Residential City of Newport Beach - Building Division -3 Comt-ri'l )( �to\l; - 31�7 NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL jay Ll i I d i n g Grading I" -Drainage I`— Elec I-**- Iviech Plum CuYdFill Project Address Not mailing address) I- Flood F Fire Liq Landslide Floor Suite NC, Description of Work ---- ------- --- Use Const Type # Storiesi # Units (if Res)� ATE Valuation New/Add SF Remodel SF ~ Garage/New/Add Material/Labor OWNER'S NAME Last L FirstI Owner's Address City APPLICANT'S NAME Applicant's Address City Last Fbe.)o ARCH ITECT/DESIGN ER'S NAME Last Architect/Designer's Address City lfN61NEEWS NAME Last F-- Engineer's Address INTRACTOR'S NAME/COIVIVANY 5 Address IS t,710011"IF Owner's E-mail Address State zip Telephone I I qq State F­CA First hry �O, Applicant's E-mail Address [T Zip Telephone 7(t �7 4)q First Lic, No. Architect/Designer's E-mail Address State I Zip F—'---- - TeIephoneF________ - First Engineer's E-mail Address State F-­ Zip Telephonel Lic. No.1 C (910 �A N PId IAIC. Lic. No. Class Contractor's E-mail Address State A Zip Telephonebfv REAR SETBACKS FRONT PERMIT NO. LEFT SETBACKS RIGHT PLAN CHECK NO. DEVELOPMENT NO PLAN CHECK FEES $