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HomeMy WebLinkAboutX2014-0526 - Permit ApplicationPrint Form p Comm'I iTi Residential Y8I-201l1i Xzoly- 03Lb I Haug Dr. Worksbeet for Combo Building & Solar Permit Appllicat on City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL /Building l Grading Project rDralnage f Elec r'Mech ddress (Not mailing address) r Flood ri Plum cuyd cut r Fire F. Liq IT Landslide rN/A H-vMD- V \SJe._. Cu Yd Fill I Floor Suite No Description of Work W0,1 4itns (a) New/Add SFI /V... Remodel SF N—f Garage/New/Add L /i/ Use I I Const Type [ # Stories[j # Units (if Res)] Valuation $ Material/Labor OWNER'S NAME Owner's Address Last I. ftM-& Hp5p/ i'- - I I -t9» t- lVa; VC_ City A)-e2,0p811- ',cif Q-, State I cfr First I J Owner's E-mail Address L__.............. . - -------------- ZipI 72(000 J Telephone 1719 251t./g33 APPLICANT'S NAME Applicant's Address Last 6A-Tr w, Dye koad 4(32 F City 9cm -(- - Gila j State C- Zip JFirst' Natcl< ,e, % C/arrs7 iaieet Applicant's E-mail Address Rick . '4 rr ear q2 7O 7 J Telephone r4_6fir006i ARCHITECT/DESIGNER'S NAME Architect/Designer's Address Last '(© J City State I J Zip First Architect/Designer's E-mail Address Lic. No. J Telephoner ENGINEER'S NAME Engineer's Address Last I /OA City I jFirst Engineer's E-mail Address Lic. No.) I State L. _ J Zip [ JTelephoner CONTRACTOR'S NAME/COMPANY Contractor's Address 51rs_5j/2�EG (ts�s �F�r��o�cc-Iw 4 Contractor's E-mail Address ra. Sun ?cad cinr1-7 City State Lic. No. 1993oy8 Class1C,_ (T JZip Q' 707 I Telephone ecla b 545 , PIA J 7/)bW11-oOby SETBACKS REAR SETBACKS LEFT USE ZONE SETBACKS FRONT SETBACKS RIGHT DEVELOPMENT NO PERMIT NO. PLAN CHECK NO. PLAN CHECK FEES $ 90gI