Loading...
HomeMy WebLinkAboutPV2022-037 - Permit ApplicationFV 2622—C)q115 41sfi A Worksheet for Com Building & Solar Permit Application [ Comm'I [i Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL [Building [Grading [Drainage [Elec [Mech [Plum Cu Yd CutF Cu Yd Fill Project Address (Not mailing address) [ Flood [ Fire [ Liq [ Landslide [N/A Floor Suite No k5 5 i- I sk s4 Description of Work Use CanstType kW _17X— I4.e� s0tak-K yj4W # Stories # Units (if Res) i 13 ��� C ) mcoi ztv (�©k Valuation$ Material/Labor 1 New/Add SF Remodel SFF-- Garage/New/Add OWNER'S NAME Last First�1 E -r- Owner's Owner's Address Owner's E-mail Address 115 �I Is-� � I�e��e�a�ct�icec�vl ��•� City 1 /\)&_37,,4 State Zip 3 Telephone . APPLICANT'S NAME LastA texavict IZ First Applicant's Address Applicant's E-mail Address City !4V, 4w- State Zip °]Z � Telephone pert I di - I_ 530 515 56(A ARCHITECT/DESIGNER'S NAME Last I First', Lic. No, Architect/Designees Address Architect/Designer's E-mail Address City State �i Zip �I' Telephoned _ ENGINEER'S NAME Last upvl� First�/)p✓lZ� Lic. No. C7b7 14 j Engineer's Address Engineer's E-mail Address ,v1IDG� ove�ol«e-tea City State F—" `7 Zip Telephone CONTRACTOR'S NAME/COMPANY ��� 5.��� Lic No. qql is Class c)b�lb Contractor's Address Contractor's E-mail Address �s11� City State F777 zip — ! phone Zi Tele �Z —Imo?- 1 SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVEI.OPMFNT NO Y7%_1 -)%f — (_0/'YP) 1 PI AN CHF( -.K FFFR R