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HomeMy WebLinkAboutXR2024-6339 - Permit Applicationi Print Form I Worksheet for Combo Building & Solar Permit Application j?jComm'I j�jf%sidential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL r�4uilding F- Grading F-Drainage i- Elec i- Mech r Plum co Yd cuts Cu Yd Fill Address c�G/ �tywo©J cription of Work 7o Vx u,V l-1� " dress) F Flood r Fire r Liq r Landslide r-N/A Floor Suite No APT',-1 19.- 9�37 b,4ywod.D /DP I sT 0-37 Gf Gam-G�;� New/Add SFs-- ;1U %,v JZfID Garage/New/Add F— �Ie,-��ConstType # Stories # Units (if Res) Valuation $ I -3, Ma�V terial/Labor OWNER'S NAME%C^C/ IirwAl,9 ��/I�/�Af/�-E"st �/�/��GC/�/!%� CJ Owner's Address Owners E-mail Address i f��rin��nv�pTnH y. cow City /�2-Y� �/ - State - Zip - j�y / 7 Telephone % - 7ZQ ' �j 7C APPLICANT'S NAME Last - --61A_V_ Applicant's Address yz City �ey4 State �- First I Imo/ A •�/ Applicant's E-mail Address/ 17t fC zt,{ O CIrl oo . Zip 2 Telephone ��� 2Ci> �J ✓ y/ ARCHITECT/DESIGNER'S NAME Last 7 ^t//First R AAIJ /y Lic N . `Z¢ZZ,j Architect/Designer's Address Architect/Designees E-mail Address ,,4-7tfr l4 Ile - City Zip Telephones -- ENGINEER'S NAME Last First �— Lic. No. ENGINEER'S Address Engineer's E-mail Address City I— State I Zip [_ Telephones -- CONTRACTOR'S NAME/COMPANY cC Lic No. I O6 Z-Z (S Class Contractor's Address Contractor's E-mail Address City State �— Zip [_ Telephones SETBACKS REAR SETBACKS FRONT PERMIT NO. YAM SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NC. IK ' USE ZONE DEVELOPMENT NO PLAN CHECK FEES $