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HomeMy WebLinkAboutXR2023-0649 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application F_ Comm'I r Residential City of Newport Beach - Building Division NOTE: PLAN PLAN CHECK FEES DUE AT TIME OF SUBMITTAL �a 6iilding Grading j- rainage r�Elec I Mech r Plum c d Project Address 3escri tion o ftrk t - — t2 � -- --- - _ uY Cut Cu Yd Fill (Not mailing address) [ Flood f_ Fire r- Liq J_ Landslide [7N/A Floor \ 4tL° X Suite No Use ConstType if StorieSE # Units (if Res) Valuation $ New/AddSF�— RemodelSF�— Garage/New/AddF— Material/Labor Fazi0 e)© OWNER'S NAME Last First Owner's Address Owner's E-mail Address _lAvoFs�rT ---.�---- -- - - - ..- _.._lC•4JViiarr��RofJ�cTty.M�l-..__C7J—V—I.—._. City tlena�'>�r , __ ___ State cam____.--- Zip 1 Zcb— Telephonel__ 1oCq� - - L � 'll�l. S, APPLICANT'S NAME Last Applicant's Address City �Q�YJL State F��_ ARCHITECT/DESIGNER'S NAME Last Architect/Designer's Address City ENGINEER'S NAME First C35 Applicant's E-mail Address Zip_ `�- Telephone P-0i First Lic. No. Architect/Designer's E-mail Address State �— Zip F_ Telephoned - Last ,y� 1P./Al/lti�'3LFirst Lic. Engineer's Address Engineer's E-mail Address City State F Zip F TelephoneF-7— CONTRACTOR'S NAME/COMPANY Lic. No. — C a� r-c , ,Rai , (i.fc. - c 2_0e,10. Class c_ gl Contractor's Address Contractor's E-mail Address 1�b 1qS Mc- „tom u^ E 13' - IAJAr t SCr(•�`5rth�^�C� .gym.. � - city Vc 4It __ State �C Zip I ZW i./ Telephone ey gn 50 SETBACKS REAR SETBACKS FRONT PERMIT NO.Pj SETBACKSLEFT SETBACKS RIGHT PLAN CHECK N0. l USE ZONE DEVELOPMENT NO PLAN CHECK FEES $