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HomeMy WebLinkAboutX2020-2443 - Permit ApplicationForm .111 j- Residential, for Combo Building & Solar Permit Application City of Newport Beach - Building Division NOTE: PLAN CHECK)I[FAS DUE AT TIME OF SUBMITTAL r Grading Drainage 3�lec Project Address (Not mailing add of Work PN�c'V h Cu Yd F_ Flood Ire; I -c i eekL Ztis SF / to �ikw, I-( 1-1 �L,4�1` 1 'I j'S . e4 !Vll,! New/Add SF F— Remodel SF �2 ,- ,arage/New/Add F_ OWNER'S NAME Last Owner's Address _�2 i-ce City I Tec,.12cT7Te__�(-_ State I vl APPLICANT'S NAME Last I Cc Applicant's Address � y 3&;>7 C-, 714 City L-C, h S 6,a e,,Cj-L --- State c- First I F' Owner's E-mail Address Cu Yd Fill F j-N/A Floor Suite No Use K-3 Const Type F-6 It Stories # Units (if Res)[ — Valuation $ 4/ Material/Labor ( / Zip ffsJls.�(G Telephone First Applicant's E-mail Address IC.DrlS�G✓GC'.Y�t� �� ,Car"1 Zip Telephone _7 ARCHITECT/DESIGNER'S NAME Last )eS �pF' �(. Lic. No. Architect/Designer's Address City lolLC e State ENGINEER'S NAME Last l ( /2 Engineer's Address q02— City / A State Architect/Designees E-mail Address / r�jCp�i'�-e/'r15� wGC1/�'I iT �->,�,C9✓'1 Zip I Togo Telephone O/ ` - 5--_5 6 First t`e t-7 Lic. No. 1 1725Z- Engineer's E-mail Address Zip ) Telephone 3r/ CONTRACTOR'S NAME/COMPANY Q x E S &e4 (0 y) Lic. No. ��� /7 ClassIU Contractor's Address City I 'Fou )(o)i Vo )-e State (A SETBACKS REAR SETBACKS FRONT Contractor's E-mail Address Zip 7) � 7,2 '7 Telephone PERMIT NO. X N' V " SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. ISE ZONE DEVELOPMENT NO PLAN CHECK FEES $