HomeMy WebLinkAboutX2021-2658 - Permit ApplicationWorks et for Combo Building & Solar Permit Application
F- Residential // City of Newport Beach - Building Division
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Description of Work
Use F—Const Type
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# Stories # Units (if Res)-
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New/AddSFr R modelSFr
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Garage/New/Addy
aluation $
Material/Labor',Z��
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OWNER'S NAME Last
First
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Owner's Address
Owner's E-mail Address l
City 16 State r--
c eft Zip (�Zb ci7 Telephone �� O
APPLICANT'S NAME Last' �AA1� /zIto
First -7-A ley-
Applicant's Address
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Applicant's E-mail Address
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City 1 t �`� State j!
Zip Cl�- Z Telephone '7`� �/, ,i
ARCHITECT`/DESIGNER'S NAME Last _[
LLic.
First7 No.
Architect/Designer's Address
Architect/Designer's E-mail Address
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City `' /0�1&/l%t 1 State ,°,�y
Zip F,7Z6Telephone �'�Sr— !_,6 --
ENGINEER'S NAME Last F_F� .--! 7- 0
First Lic. No. 3 �
Engineer's Address
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Engineer's E-mail Address
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City L4u,,tP� State ,0 41
Zip L6; Telephone 16-675316
CONTRACTOR'S NAME/COMPANY -�A i� ^. 1 C Lic. No. F66 lassl
Contractor's Address
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Contractor's E-mail Address l/ 7 V C-1 J 1
City A �11� State L
Zip Telephone 1//-/_ !/�(p
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
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PLAN CHECK 7-
USE ZONE DEVELOPMENT NO
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PLAN CHECK FEES $