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HomeMy WebLinkAboutXR2023-0573 - Permit Application- Print Form j Worksheet for Combo Building & Solar Permit Application City of Newport Beach - Building Division r' Comm'I r Residential Ci�� NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL F-'Building F-Grading F-Drainage j-Elec F_Mech Plum Cu Yd Cut Cu Yd Fill Project Address (Not mailing address) F_ Flood j— Fire F- Liq j- Landslide f-N/A Floor Suite No mo Scholz plceza rT4� 1 48' Description of Work Use s— Const Type s /1?�tiS�Pl rfI4NI /� / room e # Stories # Units (if Res)s Lt Z r Can y���if —2p-/i,1a1 � 1°+1—s- haul --�onyPi'T��as�7QLau alu a140,000 Materirial/l/Laabor New/Add SF— Remodel SF�Garage/New/Add s OWNER'S NAME Last a ©/'�/ First �e LriJ �"/q/� �✓ Owner's Address Owner's E-mail Address l n/flTiaNtJ Qic---- - -- City %N �%I State I -r' `- - _ Zip I �%oF-(�[/�'- Tdelephone / 7 APPLICANT'S NAME Last D� ✓ �jL{Il / First Applicant's Address Applicant's E-mail Address City / / S%�� a State C_� Zip 1 10"� /�- Telephone _:1 ;>l 13,6 C� ARCHITECT/DESIGNER'S NAME Last First F Lic. No. Architect/Designer's Address Architect/Designees E-mail Address City State �- Zip Telephones ENGINEER'S NAME Last First �i Lic. No.s Engineer's Address Engineer's E-mail Address City State f ® Zip �— Telephone— CONTRACTOR'S NAME/COMPANY IVC Lic. No. ROMPWClassFE �l i Contractor's Address Contractor's E-mail Address - - � -- City VA4� / S State Zip Telephone q ? j01 y�r SETBACKS REAR SETBACKS FRONT PERMIT NO. X�ZUZ3 • S73 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. pC2OZ 3 • Qt�sq USE ZONE DEVELOPMENT NO PLAN CHECK FEES $