HomeMy WebLinkAboutXR2023-1286 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
F_ Comm'I F_ Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
jRBuilding Grading F-Drainage r Elec (—Mech r- Plum CuYdCut CuYdFill F
Project Address (Not mailing address) f— Flood r Fire j— Liq F_ Landslide FN/A Floor Suite No
I70 SfdneYBq Dr
( F—
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Description of Work rf. el-'{ Ik
Use F— ConstType
(A5fgiltap 29 U;�[V 50111- p14els w/ S0l r0l p
#Stories #Units (ifRes)F_
rn�e/fP/`r Cluj+fl�rA� Z Ly 66H
b17��les.
Valuation
Material/Labor -1 ✓
New/Add SFF Remodel SF�—
Garage/New/Add
OWNER'S NAME Last O C n f S p ji
First I rAp vt Q S
Owner's Address
Owner's E-mail Address
i70 StdnPX B py D
Jx 41IQ)'1,roM
City FIV e P p #, I U e l h State C A Zip qZ 6 S 1 Telephone f y 9 4 31 Q0 ? 0
APPLICANT'S NAME Last - t erZ S
First I X 4 ✓t i r
Applicant's Address
Applicant's E-mail Address
8fll 41eon5
r,-) S441ersDltrrcc/y,
city L 4 q it g eat h State F c ft
zip q 2651 Telephone (56z) 637-975 7
ARCHITECT/DESIGNER'S NAME Last a n Z/ Z q First � e g�c9 3
M 4 g y E �19P�1 Lic No.
Architect/Designer's Address
ArchitecUDesigner's E-mail Address
pIQje05 e✓dn)ifieolSAeJ. c/n
City State F
Zip F— TelephoneF_
ENGINEER'S NAME Last
First Lic. No.1—
Engineer's Address
Engineers E-mail Address
City I State r—
Zip �`— Telephoned
CONTRACTOR'S NAME/COMPANY /)n e `q iI f Lic. No. �8z5 33 Class
r J
Contractors Address
Contractor's E-mail Address
al einey"t Sf- STE it
M;/ceIV 5g91et57vI ,ovi
City L () y Ar L.,fCh State I L
ZiP y2 65I Telephone 9 yy_ ssti lig O p
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. )Oev2r>�
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $