HomeMy WebLinkAboutPV2022-0373 - Permit ApplicationL Prir,tForm Workshee't for Combo Buillf90ng & Solar Per�uit'Aip H���t$uon jo�
F_ Comm] F_Residential City of Newport Beach - Building Division V � �ZZ_ruta)NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
r7Building F_ Grading Drainage F_ Elec F_ Mech Plum Cu Yd CutF_ Cu Yd Fill F_
Project ,address (Not maliding address) F4 Flood Fire Liq F-" Landslide INN/A Floor Suite No
.. .... . ........ F_ F_
Description of Work
New/Add SF� Remodel SF Garage/New/Add
Use F Const Type F-7
Stories # UniL5 Off Res)
Valuation $
Material/Labor
.. ..........._.
City State F Zip Telephone®�
CONTRACTOR'S NAME/COMPANY /�,r�o
Lic. No. J�•y
�`7 Classl
Contractor's Address Contractor's E-mail Address
City State C'/j Zip C%S' Telephone %K)(S-q-IW%3.
SETBACKS REAR SETBACKS FRONT
PERMIT NO,
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.