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HomeMy WebLinkAboutPV2024-0091 - Permit ApplicationPrint Form_ r Corl - X Worksheet for Combo Building & Solar Permit Application Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL IBuilding rGrading v rDrainage /Flee rMech FPlum CuvdCut cuvdFill x � Project Address (Not mailing address) F_ Flood r Fire r Liq r Landslide f N/A Floor Suite No Description of Work Use F—Const Type ME- Mnuo #Stories #Units (if Res) F l w � S e , , � '/ �1n L� (� C_ 1'I T Valuation $ �pNew/Add Material/Labor11�/ SF�— Remodel SFGarage/New/Add OWNER'SNAME Last �n First 1 Owwn'er'r's Address Owners E-mail Address 1`T FTVCity State �— Zip Telephone 1 1 APPLICANT'S NAME LastFirst Applicant's Address Applicant's E-mail Address Y) . a(l)e -� C City State �— Zip I elephone � f ARCHITECT/DESIGNER'S NAME Last (/� First F_ Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City ►(�'I/,tiln Y� State F,I(i/ ZipF1E1/_S Telephoned—t-- ENGINEER'S NAME Last No ��p�n First � Lic. No /Aw _/ e—,�m `aJ��l/V t Engineers Address ��,� Engineer's E-�mJJlaiilllAddress City t rv) q Q State �— Zip 1 TelephoneRW�/6 jy CONTRACTOR'S NAME/COMPANYI Lic. No. 1���(�lassF Contractors Address Contractor's E-mail Address City State F_ Zip i— Telephone F_ SETBACKS REAR SETBACKS FRONT PERMIT NO. 1 • = ?. Y -oO k SETBACKS LEFT ! SETBACKS RIGHT PLAN CHECK NO.pC !;y.0'j j6 USE ZONE DEVELOPMENT NO PLAN CHECK FEES S