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HomeMy WebLinkAboutXR2023-2110 - Permit ApplicationPrint Form IWorksheet for Combo Building & Solar Permit Application I— Comm'l F Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAI 1/Vulldmg r' Grading (Drainage J7 lec Pr+�ech �lum CuYdCut � Project Address (Not mailing address) f Flood F Fire r- L j- q Landslide i Ci �2A of Work N it_L 44>0 GLO�Q'/ @ �jC. i G7Jly 2cr-I.>tJfx, Pjst 4Tp 2 �( New/Add SFs —IZ7-- Remodel SF 9bj --------------------- OWNER'S NAME Last �. Owner's Address "Z i L— L 1 ( -5v15 f3A`C 4 r (,L city IC,'© M �[z Garage/New/Add I Z` First i-;aixH Owner's E-mail OAddress State s- - CPr zip nrrL1WjN 1'b NAME Last UitVW_GL-_. Applicant's Address ------------------------- lpw4w" I v F'NAx 11 it 6 �� City State FET�,_ _ ARCHITECT/DESIGNER'S NAME Cu Yd Fill j—N/A Floor Suite Nc Use16plIPConst Type FIT- # Stories[ Units (if Res)i Valuation $ F�4F, Material/Labor 000 L"A.V P -ctj Telephone %TI6 -253. 3$gi First 115/A-tzvy' Applicant's E-mail Address 1317, 061-10,,114- .�y Zip 9) Telephone y¢�� , z ` Ey Last First �Y Lic. No. Architect/Designer's Address G 1 % 69j7 Architect/Designer's E-mail Address City State F� Zip F Telephones -- ENGINEER'S NAME Last First Lic. Engineer's Address Engineer's E-mail Address City State F Zip Telephones-- " +1nA�IUWbNAME/COMPANY A? 1J ( Lic No. 1073�03 Class c ^nc Contractor's Address ll **�� Contractor's E-mail Address C..0 U � �2c� L vl h City <JIN„\n Je&1S e=, GC fc�ttO G/Ci1 r--�� C a x r/� State Zip QZ 7uj Telephone) Xb �1�a2 ^ ~ SETBACKS REAR SETBACKS FRONT PERMIT I PLAN CH 10 SETBACKS LEFT SETBACKS RIGHT USE ZONE DEVELOPMENTNn