HomeMy WebLinkAboutXR2022-2734 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application 1EWPpgT
City of Newport Beach - Building Division
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Comm'I Residential` NOTE: PLAN CHECK FEES DIIF AT TlmF nF ai IARAITTDI
j-Building F- Grading r-Drainage r-Elec F_ Mach Plum CuYdCut CuYdFill
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Project Address ('Not mailing address) C Flood f Fire F_ Liq F Landslide F_N/A Floor Suite No
2,0242 dQc.HIo 5i 1—
Description of Work
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Use bpConst Type F
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# Stories # Units (if Res)F-
MateriDvorF/,L///r!
-.2 rL
-�——Valu New/Add SFf Remodel SF Garage/New/Add
OWNER'S NAME Last �2C- -Af%-k $A✓A44-First
Owner's Address Owner's E-mail Address
City �CIA i [W//lf% State C Zip Telephone
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APPLICANT'S NAME Last -PI C Anl First M i U L)e
1
Applicant's Address
Applicant's E-mail Address
1429 S. CI4sT Epp Av.
City I PO/ -,0 h Jim State C- Zip 176
/ Telephone qy S �rq 7
ARCHITECT/DESIGNER'S NAME Last First F Lic. No. F_
Architect/Designer's Address Architect/Designer's E-mail Address
City State Zip �— Telephone
ENGINEER'S NAME Last First F® Lic. No.
Engineer's Address Engineer's E-mail Address
City State F__ Zip Telephone�—
CONTRACTOR'S NAME/COMPANY A�.l ✓fl CAI Li, Id3[18Class
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Contractor's Address Connttra�dor's E-mail Address
673S 3A11jA2Q Z N Ark( RICAl- Ire @ �4dlaa.coti,
City I tl� l>State CA ZiP 1 Telephoneq�®-'p�fC.i(c�
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SETBACKS REAR SETBACKS FRONT PERMIT NO. L�/� ��• 73
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK N0.ty �GCi • ��
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $