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HomeMy WebLinkAboutX2020-2585 - 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 j-Building r Grading rDrainage )- Elec )- Mech r Plum cu Yd Cut Cu Yd Fill Address (Not mailing '131s- Gary -el Pla6e Description of Work /-n1'/ /Jlef-e d- 6fe-diHS' New/Add SFF- r Flood r Fire F- Liq r Landslide F_N/A Floor Suite No NewjoGry b��ed I F— Use F_ Const Type �ei✓IG%i f /avi o� �n,fi�il Tfil�Cfli� #Stories #Units (if Res)I— Valuation $ / Remodel SF Garage/New/Add F- Material/Labor OWNER'S NAME Last First Owner's Address Owner's E-mail Address 2217 GaH/c/ Iola c.G i 90M City ll/LW/or{ tgepcvr State Zip alTelephone %/�/ 27z /28G APPLICANT'S NAME Last I MGy[1plafl-ey- First sCO/,?,- Applicant's Address Applicants E-mail Address 3/ 6%/�CJ�Gf(�GrG SGv1r"��,i%%LLi/CCn,/fivC-fiU�l/r, h � i City p_iseP e, %LO'4C/i State C`f Zip 9 j�// Telephone 3� ARCHITECT/DESIGNER'S NAME Last First �2 f Lic. No. 3 oZ a Architect/Designees Address Architect/Designer's E-mail Address City CdS1 " ���� State G� Zip �j2G 27 Telephone 2 % Z�/ ENGINEER'S NAME Last 1�f / ed e/'% q First F/_?Oh Lic. No. Engineer's Address Engineer's E-mail Address z3©ld �,/ e do/,,I d.,'� 1ZOi'7t���II�9C� Lax.r�ef p G c City /c9u✓/4 hi//f State �� Zip �2Cs 7 Telephone y/i% CONTRACTOR'S NAME/COMPANY { jl?e�r Cd/1J Lic. No. 7 Q7 Class Contractor's Address Contractor's E-mail Address 3/ City StateZip G` Telephone E (S REAR SETBACKS FRONT PERMIT NO. �•� Ii58S LEFT SETBACKS RIGHT +P-LANN CHECK NO. DEVELOPMENT Nzai r �r "CHECK FEES $