HomeMy WebLinkAboutX2022-0231 - Permit ApplicationPnnt Foam Worksheet for Combo Building $ Solar Permit Application
Comm'I [ Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building [ Grading
[Drainage '(lElec W1 ech [ Plum CuvdcutF CuvdFill C
Project Address (Not mailing address) [ Flood [ fire [ Liq [ Landslide [N/A Floor Suite No
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Description of Work
Use NT ConstType WAj
# StoriesFi # Units (if Res)C
Valuation $
Material/Labor IyjrQ(�
New/Add SF
Remodel SF �% Garage/New/Add
OWNER'S NAME
Last First .y)�
Owner's Address
Owner's E-mail Address
1 I I tvWAFCX-j
City N State t 6 Zip �� n� �' �J Telephone
APPLICANT'S NAME
Last�Z FirstJ��.
Applicants Address
Applicant's E-mail Address
City �.
State Zip c 'r } Telephone lit(--f&,,/o-G}—
ARCHITE ESIGNER'SNAME,
Last IN7rr, First �' ,/ Lic.No.�
ArchitectMesigne—e Address
Architect/Designer's E-mail Address
City
State Zip TelephoneE
ENGINEER'S NAME
Last C UI First Lic. No. Lf
Engineer's Address )
Engineer's E-mail Address
City Cl
StateA Zip C Telephone (LFf
CONTRACTOR'S NAME/COMPANY L UL c o (3 i 1vIc2 4 Lic. No. L(7 3 k O y ClassC
Contractor's Address
Contractor's E-mail Address
/
321s1 /a 33 i,-) L.>_1-O%j.iZ-, Co M
City S'qr 3VgnjState Zip ��� Telephone
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMFNT NO PI AN CNFCIC FLGS 4