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Home My WebLink AboutX2018-3212 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application r Comm'I residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL f—Building r Grading FDrainage Elec r0ech lum cuYdCut [uYdFill F Project Address (Not mailing address) ri Flood r1 Fire r, Liq r; Landslide F_,N/A Floor Suite No 3S e jCo.,t - lU e e C 7a66 I F____1! F— Description of Work Use R'' IAConstType di i If Stories[—•-; #Units (if Res)r— Valuation $ f L Material/Labor F,J F New/Add SF 07 � Remodel SFr t Garage/New/Add 0 OWNER'S NAME Last _ge SJ fD First r Owner's Address Owner's E-mail Address City A /fit State �l"'y./ ! i I Zip r—a� Telephon APPLICANT'S NA Last �SSP lei First � �'- Applicant's Addres Applicant's E-mail Addres� City N State I C/ / Zip Telephone. �/f [ / 7,5 —.,. QDe" ARCHITECT/DESIGNER'S NAME Lash 6 t/ h eZ First '�, Lic. No. Architecl/Designer's Address Architect/Designer's E-mail Address � YYS �l �hw re SI ��EnifXP 710da /Tns. CBm� City State Zip 9a,j TelephoneF��_ / ENGINEER'S NAME Last t��-�$Gt� First Lic.No. 33 a Engineer's Address Engineer's E-mail Address [[ / 13 C/ ¢ hn Q Vf City r L State FE; 41- L o r )-OD/(,� Q e/ _ � /�� Zip 9a6s Telephon �yAy U�.-5�(53 CONTRACTOR'S NAME/COMPANY `\ CO`4 _ j Lic. N/o.l i�ll(,,114'6_ Class Contractors Address Contractor's E-mail Address SU LI J = \11 -e Vt C✓ C re nt v (�"rQ' t�.nYrC.Cs� 1 O VKi r-'W�4i )r� City L© � Pi �� Sate F� , Zip �l �Ots Telephone % /`t �39 3 . _ d SETBACKS REAR SETBACKS FRONT PERMIT NO. 201 0 . 57-1 2 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NOO. 7/D 2- 20 19 USE ZONE DEVELOPMENT NO C IN CHECK FEES $"�'� C^4�vt� � a►o ;.