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HomeMy WebLinkAboutU2024-5272 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application F_ Comm] Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL I— Building r Grading rDrainage r Elec r Mech r Plum Cu Yd Cut Cu Yd Fill Project Address (Not m of Work ing address) F_ Flood r Fire r Liq r Landslide I —N/A Floor Suite No r�ec-t 1[ "XCL, F_ F_ Use s ConstType -T_1tvm',t,a+ Q �'x # Stories #Units (if Res)s wr E wn eri IN Valuation $ New/Add SF r✓�� S7-4 Remodel SFF Garage/New/Add F— Material/Labor OWNER'S NAME Lastl U(VhCI� First) KeVIV, Owner's Address Owner's E-mail Address ul� �At.^ �4i .tei br. � City State — Zip - Telephone f� f 2W �73t APPLICANT'S NAME Last �� v� First I �� SUN CS ti� Applicant's Address Applicant's E-mail Add I Ivd. SeAtJIGIwKL9dee?��GMPrtL M City LR State CF} Zip 90_0I Telephone (r {I--} -£435 ARCHITECT/DESIGNER'S NAME Last Cr First r ° Lic. No. `C Architect/Designer's Address Architect/Designer's E-mail Address City ENGINEER'S NAME Engineer's Address City Last State F— Zip �— Telephone First Engineer's E-mail Address Lic. No.s State F Zip F— Telephones_ CONTRACTOR'S NAME/COMPANY C Lic. No. ) o�4zq � Class FITT Contractor's Address Contractor's E-mail Address 9a ©Lv ,�t7nacvvvr r�tFrLwM1`laoo3 6M t, ep" City State e rk Zip 774i_ Telephone SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $