HomeMy WebLinkAboutXR2022-2707 - Permit ApplicationWorks t / CoMbv Bu It g S� Solar l I�tit Application ra
2oZ2 — City of Newport Beach - Buildin Division
r Comm'I � Resi ential 9
NOTE: PLAN CHECK FEES DtJF AT TINAP nF ai iannrrrAi
I —Building F_Grading F—Drainage F_Elec F—Mech F—plumCu vd Cut Cu vd Fill
Project Address (Not mailing address) [ Flood r- Fire I— Liq r" Landslide CN/A Floor Suite No
Description of Work �/ Use
tl� /'✓ & �f l�—! Y� L ConstTypeF
# Stories # Units (if Res)3—
Valuation $ I
New/Add SF�— Remodel SF1 — Garage/New/Add F_— Material/Labor
OWNER'S NAME Last First
Owner's Address Owner's E-mail Address
City State F Zip Telephoned
APPLICANT'S NAME Last <]/(� ,G f��+ _ First
Applicant's Address Applicant's E-mail Address
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city �} 11�f1'1 I State �� Zip c� Telephone
ARCHITECT/DESIGNER'S NAME Last First F F
_-. Lic. No. F--
Architect/Designer's Address Architect/Designees E-mail Address
City State F— Zip 77TelephoneF—
ENGINEER'S NAME Last First �® Lic. NoF---
Engineer's Address Engineer's E-mail Address
City State F__ Zip �— Telephoner
CONTRACTOR'S NAME/COMPANY /J0 U(/� n✓ f��I r o. �o$2g�Zlass�
Contractor's Address Contractor's E-mail Address
City State �— ZiP F— Telephone
SETBACKS REAR SETBACKS FRONT PERMIT NO. � X�LoLZ • Z79%
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. Vq)6� J
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $