HomeMy WebLinkAboutX2022-1152 - Permit ApplicationPrint'Forrn, Worksheet for Combo Building & Solar Perm//YY���JJ't a ' 00",,
r Comm'I Residential sion
NOTE: PILAN HECK Fty of NewportES DUUE AT TIME OF each - Building ISUBMITT��� � �
Building F_ Grading rDrainage I-Elec rMech Plum Cu Yd cut �I Cu Yd Fill 7
Project Address (Not mailing address) r Flood r Fire r Liq r Landslide rN/A Floor Suite No
- -I0ty. V,111 L0 WW �N. N�)CAcle c
Description of Work
Use F_ Const Type
# StoriesF7 # Units (if Res)F
Valuation $
Material/LaborG�
New/Add SFI Remodel SFF777--
Garage/New/Add r
OWNER'S NAME Last Tit" Ns
First DIN N05,
Owner's Address
Owner's E-mail Address
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City I�Nv�Vf�' f iYVI .. State I �F c Zlp q--ZLG>�� Telephone �-2- - _i -I Z
APPLICANT'S NAME Last Con_nelI
First Mr�ihC�e`
Applicant's Address
Applicant's E-mail Address
71N_M,0 N S -MOF1_ --
1/11 � P (aC®NN 91 W M I_ t D
city i�C-11� State
_C�
Zip �'! 1� Telephone `-2� -11,6 2
ARCHITECT/DESIGNER'S NAME Last
eeeaaa•,
First t' ` M� ic. No.
Architect/Designer's Address
ArchitecUDesigner's E-mail Address
City State �—
Zip Telephone
ENGINEER'S NAME Last
Lic. No.
Engineer's Address
4in
E-mail Addresscity
I State I—
ZipTelephone
CONTRACTOR'S NAME/COMPANY M �, /I Ci G� N Lic. No. Effill Class
Contractor's Address
Contractor el E-mail Address
132, kX)r\!i N A ANFMYFPP100
00—F_t11A (�jMai ._Corgi
City �� State EPS
.
Zip q)3ab Telephone ��.a_�
1373 UU 7 S 5Li
SETBACKS REAR SETBACKS FRONT
PERMIT NO. )(2022�A�/9� S
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. ' nSjj- WZZ
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $