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HomeMy WebLinkAboutXC2024-0216 - Permit ApplicationHrint corm I worKsneet Tor Uomao building & solar Permit Application (a, �Comm'I r Residential City of Newport Beach - Building Division gNOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL «« rBuilding rGrading rDrainage F_Elec F_Mech F—Plum CuYdCut F CuYdFill Project Address (Not mailing address) f Flood r Fire r- Liq r Landslide F_N/A Floor Suite No 30y V44vle Ave. Sv; k 8 A144ol b a 4, C4 92b62 F Description of Work Use a ConstType VJ3 / T �o Coht�Z✓� VG / 5or6 eS�+�a��%rN wvt� e�'a �o if StoriesF f N Units (if Res)F— SGrdp r%ss�b/.sh�r.�/ Valuation $ Material/Labor (140� doo New/Add SFF— Remodel SF ? Garage/New/Add OWNER'S NAME Last l%%a.�e'aati t First ��,/ O Owner's Address Owner's E-mail Address ak, V4y. sYi�/J. {,/A�iSS%�`'►v. LUW! city r �; i e State GA Zip 926/B' Telephone y0gf ,7.02 - 3ns APPLICANT'S NAME Last �yKyyy First Applicant's Address Applicant's E-mail Address 2gg5 mc(abe WA/ S�^c. �5� r✓�nr(�cloH• ks l'•� . coo" City5;vie.t State F^ Zip [j7� IV Telephone ( 74,14) Y8'0 -053J ARCHITECT/DESIGNER'S NAMELastZ + Last a First PAv/ LicNo. Fe 27/?q Architect/Designer's Address Architect/Designer's E-mail Address ZgL6 ll' ali< Way S�14. /50 p,10/4Q�altsy+�rksivi/:wt.cut" City 1 3�,e State FCA Zip 926/df Telephone 144) 7_25-44014 ENGINEER'S NAME Last �%✓ S i First R Lic. No. 6 199 00 Engineer's Address Engineer's E-mail Address y�12 1�0tCs+ A1,t. Yve4+ ra„�rrr�jproeh�c.corn City State FT_ • Zip g2-01 O Telephone (kS79) yFy- Sy&# CONTRACTOR'S NAME/COMPANY Lic.No. 3 SClassF •/ Contractor's Address Contractor's E-mail Address City I State �— Zip I Telephone SETBACKS REAR SETBACKS FRONT PERMIT NO. X( 2024 - ©Z� SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. (JC.ZOZ(I — MCI Z USE ZONE DEVELOPMENT-NCI::� PLAN CHECK FEES $