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HomeMy WebLinkAboutF2023-0223 - Permit Applicationf'rrrt FesrrnI Worksheet for Combo Building & Solar Permit Application F 9EW�aPe (- Comm'I (X Residential City of Newport Beach - Building Division ^ NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Fx-Building F_ Grading F-Drainage I-Elec F_Mech r Plum Cu vd Cut Cu vd Fill F Project Address (Not mailing address) F_ Flood r Fire r Liq F_ Landslide FN/A Floor Suite Suite No Hiler:a, Nay, Nearper: Beach, VA 32663 I^VVV Description of Work Use R2.1 Const Type V-A/I-A # StoriesF2 # Units (if Res) New Area of Rescue System New/Add SF 74,756 �— Remodel SF Garage/New/Add Valuation S $5,700.00 Material/Labor OWNER'S NAME Last First Owner's Address Owner's E-mail Address City State Zip F— Telephoned APPLICANT'S NAME Last Vigil First Gwen Applicant's Address Applicant's E-mail Address 17654 Newhope Street gvigil@avcsystems.com City Fountain Valley State CA Zip 92708 Telephone 714-745-4772 ARCHITECT/DESIGNER'S NAME Last First F— Lic. No. Architect/Designees Address Architect/Designer's E-mail Address City State F Zip F TelephoneF ENGINEER'S NAME Last First Lic. Nor — Engineer's Address Engineer's E-mail Address City State F Zip F_ TelephoneF CONTRACTOR'S NAME/COMPANY A Lic No. SdI Class C10 Contractor's Address Alp c `�� F [ �� �U I"it - l 4L Dm.�Cdntra or's E-mail Address 1 eet 71 coo wrla gwQwf_e — . ram- C " City F a ey State � Zip 96 Telephone 7TJ2� C� cu4A f iLOO Cis 2b `[ 1L4 q0Z Xzo SETBACKS REAR SETBACKS FRONT f ' PERMIT NO.���` ©�y SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $