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HomeMy WebLinkAboutX2019-2837 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application a�` i,, - Comm'I rj�Residential City of Newport Beach - Building Division 6 ' NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL „.'' Building F Grading rDrainage r✓Elec rfMech Plum Cu vd Cut F_Cu Yd Fill F_ Project Address (Not mailing address) F_ Flood F­ Fire F- Liq r- Landslide FN/A Floor Suite No -�_ m r-�, c P _Line; ne 1)P—r C00 6A (IAir57 F Description of Work 3 Use ConstT e r<< YP V A rru��cry,4avcm�►xryrt°� un(ts # StoriesF3 #Units (if Res) n'aiOl�emea�w gas wawa L0 RanJ6 ,ZM&r4�1v Of olany)s Valuation$ P i 6 0 Material/Labor 14 b New/Add SF Remodel SF Garag a/New/Add S12 uw�}s OWNER'S NAME Last ��,1�lLen First 6PAon '5xq ( Owner's Address Owner's E-mail Address D new00;vZr CeYMW MV& Fay awn t niy' iWmrari� On city1' v State l h IirU�(�„k"1� iR�l�a,�.}� ��" Zip q`i �61i D Telephone q`{r1 7), .6q(j APPLICANT'S NAME Last" COYTI U0 First a' Qe I Applicant's Address 1 %5 V Srt. Applicant's E-mail Address wac (jrncj,3 Do'n . qm5YP/ City n-� &In pgoState F�ji Zip t �ln ,relephone )'I 4� ll ` 7a�(' �'I ARCHITECT/DESIGNER'S NAME Last Vri�ul First itQvl Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address , corn City j00 W6 V State � Zip (�I DJ Telephone FCC, , q'- 3 ENGINEER'S NAME Last First F Lic. No f Engineer's Address Z�jEngineer's E-mail Address City State F Zip F— Telephoned CONTRACTOR'SNAME/COMPANY li I Inc Lic No. ��2� Class Contractor's Address Contractor's E-mail Address I U C_t M hannal vto I In C 11E City 'fit I_`iMY State 7F_ Zip a Telephone � I�� SETBACKS REAR SETBACKS FRONT PERMIT NO. a\"\ '2,0 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. po USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ LI