HomeMy WebLinkAboutX2022-0978 - Permit ApplicationPrint Form w
r, Comm'] I- Residential
sheet for Combo Building & Solar Permit Application
\ City of Newport Beach - Building Division ) �/ Oaa� (�y12
NOTE: PLAN CHECK FEES DU&AT TIME OF SUBMITTAL /%�
F7IBuild ing [, Grading
Project Address (Not maili
Elec _K: Mech
f— Flood 17
New/Add SF Remodel SF F—I
OWNER'S NAME Last
Plum_ curd
Garage/New/Add
Owner's Address
i
City C State
APPLICANT'S NAME Last
Applicant's Address
city State
First
Cu Yd Fill
C Landslide CN/A Floor Suite No
Owner's E-mail Address
First
Use 1 ConstType F77
# Stories # Units (if Res),
Valuation I
Material/Labor-
Applicant's E-mail Address
I
J
Zip J Telephone J
ARCHITECT/DESIGNER'S NAME Last I First i
Lic. No. �I
Architect/Designees Address
City State �I
Architect/Designer's E-mail Address
Zip F—' Telephoned - — -
ENGINEER'S NAME Last First �i Lic. No.L
Engineer's Address Engineer's E-mail Address
City II State Zip �— Telephoned
CONTRACTOR'S NAME/COMPANY
Contractor's Address
City State
SETBACKS REAR SETBACKS FRONT
Lic. No. F Class
Contractor's E-mail Address
Zip Telephoned
PERMIT NO.
SETBACKSLEFT SETBACKS RIGHT
PLAN CHECK
USE ZONE DEVELOPMENT NO PLAN