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HomeMy WebLinkAboutX2019-3469 - Permit Application (3)Print Form Worksheet for Combo Building $ Solar Permit Application City of Newport Beach - Building Division Comr I Jt/Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL wilding F_ Grading [—DrainageElec j Mech Plum Cu vd cut Cu Yd Fill F !F- Project Address (Not mailing address) F Flood Fire (-' Liq F_ Landslide FN/A Floor Suite No F_�- i ti� rE S QA U N . Description of Work Use v I�onstType l r� ( # Stories # Units (if Res)F `y µ` �,r y, -�., VJkLV C. !� Kt7C f,i Ni F, y.�f'. Y L ,.1 t;/ 4\V\,LOL TCk. __.. Ctc �/a�uation Material/La o-=132, z L w F\ �f\ New/Add SFF_ Remodel SF Garage/New/Add OWNER'S NAME Last r--- First Owner's Address Owner's E-mail Address ��� 0r I City I State F_ Zip F— Telephoned APPLICANT'S NAME Last �, First )% Applicant's Address Applicant's E-mail Address r / t City `. ,� 1J� State �/f Zip �+T�l 1 �; Telephone - ^ F ARCHITECT/DESIGNER'S NAME Last First Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City State F_ Zip F— TelephoneF_ ENGINEER'S NAME Last First F Lic. No.F Engineer's Address Engineer's E-mail Address City �— State I Zip F TelephoneF_ CONTRACTOR'S NAME/COMPANY Lic. No. F ClassF Contractor's Address Contractor's E-mail Address City State Zip �— TelephoneF(1�� SETBACKS FRONT �71 ,� r PERMIT NO. XpID ` 1 - L \te0 SETBACKS REAR SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $