HomeMy WebLinkAboutPV2022-077 - Permit Application401" Workck4et for Combo Building &Solar Permit Application
r Comm,l m-® Residential 0 NOTE: PILAN HECK FEES UE ty of Newport Beach - AT TIME OF uilding iSUBMITTALf ��o
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Address (Not mailing address) Flood r Fire r Liq r, LandslideN/A Floor Suite No
Description of Work Use 'f� uonstTypet
Z5 5-32, 25
# Stories #Units (if Res
2-5,j DOD
New/AddSFF- Remodel SFF Garage/New/AddF- Material/Labor&;&, e}I/y, 000,
APPLICANT'S NAME Last � First
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Applicant's Address
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City State r- -
ARCHITECT/DESIGNER'S NAME Last
Architect/Designer's Address
City State
ENGINEER'S NAME Last QD�
Engineer's Address
City�o 59ar
State C j3
Applicant's E-mail Address
Zip e2-7... Telephone
f moi" -324-3GC 2-
First � !8 (S 6 l� Lic. NoT_,
Architect/Designer's E-mail Address
Zip— Telephoned
FirstLic No.F
Engineer's E-mail Address re — 0
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Zip aj2Ct*8 T✓✓elephlone R`£; -2$S- 570 1-/
CONTRACTOR'S NAMEKOMPANY - Lic. No. /t7_R2_i7 Class
Contractor's Address
C� 33 /J ,J,�.V 5�--
City C6� /baa State F "
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT
USE ZONE
Contractor's E-mail Address
zip [i,4 22 Telephone 9 tag -4/92 3 � 3'3
SETBACKS RIGHT
DEVELOPMENT N(� ' „/W
PERMIT NO.
PLAN CHECK NO.
PLAN C