HomeMy WebLinkAboutX2022-1474 - Permit Application. r l rrt Worksheet for Combo Building & Solar Permit Application
F Comm'I Resident!aI City of Newport Beach - Building Division ��/r/���z I `I I
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMIT7AL
F -Building F Grading )-Drainage f-;Elec FMech r Plum Cu yd CutCu Yd Fill
Project Address (Not mailing address) Flood j- Fire f Liq f- Landslide FN/A Floor Suite No
Z- L/ 5am5e_+ Ceve, I✓eww+ Coastt UA 9263 -
Description of Work
Use I— Const Type Vg
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Valuation$
New/Add SF Remodel SF ij 1 6arage/New/Add F_
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OWNER'S NAMEr�
Last K -e 1 S2Y• First M att� C W
Owner's Address Owner's E-mail Address
Su�SGF 6✓e %C/Ser bi�1S�_�jM0.T�,CdN1
City N?.we-ft- 66 ri, State Zip f %U.$ --q- Telephone q?,q-411q-62,88
APPLICANT'S NAME Last 8a lD. First I [� fn
Applicant's Address Applicant's E-mail Address
9133_ {Uew�,All Sfi V,„ebn, t-1t4SSIG..coM
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City �Sf MCS< state l �Zip Telephone ,69-1eq-3ti33
ARCHITECT/DESIGNER'S NAME Last First [—;
Lic. No.
Architect/Designees Address ArchitecttDesigner's E-mail Address
City State F--- Zip F— Telsphone[
ENGINEER'S NAME LastU,�-CiIJ� � �C C First �0 (�^ hS Lic. No.F�
J� v
/ 2
Engineer's Address Engineer's E-mail Address J
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City State Zip! Telephoned
CONTRACTOR"S NAME/COMPANYC Lic. No. D
J+Ici I 29Z64-ClassBr&q(,
Contractor's Address Contractor's E-mail Address 6-3ef
93 3 Pe wL,1C S4, _ _ _ wib/ y4t- jif& 4a fe,r, C&h
City WSfti McSat Slate I Ck Zip GJZ,q Telephone_jd8-q$°f-3g 33
PV - i`j
SETBACKS REAR SETBACKS FRONT PERMIT NO. >cr&eTUj_'- H-7 7
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.USE
ZONE DEVELOPMENT NO PLAN CHECK FEES $