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HomeMy WebLinkAboutU2024-5255 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application oFc`gPo„'m r Comm'I' Residential City of Newport Beach - Building Division c NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL r uilding r Grading rDrainage r Elec r Mech r Plum Cu Yd Cuts Cu Yd Fill F Project Address (Not mailing address) r- Flood r Fire r Liq i- Landslide FN/A Floor Suite No 17 b L pc)R7 �26b b F F Description of Work Uses ConstType s # Stories # Units (if Res)s 6 3AValuation $ New/Add SFs Remodel SFs-- Garage/New/Add �— Material/Labor tS OWNER'S NAME Last Firs nL j , YVIn1 nt ,c ✓1 J Owner's Address el cl d I `.f i-L S C � Ow is E-mail A�dress •T I b City �� �{k,� State Zip Telephones APPLICANT'S NAME Last Qi� eL1 First � QAP,-e�____, ` Applicant's Address Applicant's E-mail Address 9��,D ackAL p�Ss N tcq,7e ©2CRherzR> .L City Jer` I State �C OC Zip gaZi� Telephone�GI 23— L -7 ARCHITECT/DESIGNER'S NAME Last First F Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City State F— Zip I Telephone ENGINEER'S NAME Last First F Lic. No.� Engineer's Address Engineer's E-mail Address City State r— Zip F— Telephones CONTRACTOR'S NAME/COMPANY N, � JC� p� Lic. No. Class C_ 2 Contractor's Address Contractor's E-mail Address City Q (7A,,,( r 1 f I State ! } Zip G (7u� Telephone (� — I. l L5Y5J�' ,u q_ S`l� FRONT PERMIT NO. SETBACKS REAR SETBACKS FRO SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. RP_k1Zj%G� PLAN CHECK FEES $ r CZ� USE ZONE DEVELOPMENT NO