HomeMy WebLinkAboutPV2023-0300 - Permit ApplicationPrint Form I 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 SUBMITTAI
F-Building (- Grading
F-Drainage F-Elec F-Mech F Plum CuYdCut r- cuYdFill F_
Project Address (Not mailing address) F- Flood F- Fire F- Liq F- Landslide rN/A Floor Suite No
Y30 r I (
Description of Work
Use F_ Const Type
I
�—
# Stories #Units (if Res)
Valuation S
Material/Labor aF�y �JC/O
New/AddSFF
Remodel SIF Garage/New/Add
OWNER'S NAME
Last First
Owner's Address
Owner's E-mail Address
City
State r- Zip F— Telephoned ——
APPLICANT'S NAME
Last First
Applicant's Address
Applicant's E-mail Address
City
State f Zip F— Telephoned---
ARCHITECT/DESIGNER'S NAME Last First F_Lic. No. �—
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F_ Zip I Telephoned
ENGINEER'S NAME
Last First �— Lic. No.F—
Engineer's Address
Engineer's E-mail Address
City
State F— Zip �— Telephone
1 Lic. No. 4g,5Rwvy Class C3`J 73
CONTRACTOR'S NAME/COMPANY P L_
Contractor's Address
ontractor's E-mail Address
233Z N DAB 46Wel(ff_Ac�P Vt Igo r-oo-(�-i a'\
City 1 0, Q
State �- Zip 6)_9 Telephone /V)632-•?6'63
SETBACKS REAR
SETBACKS FRONT PERMIT NO. r V Z Z 3 - V 3O0
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. 'fC Z02-3- I ZZO
USE ZONE
y1 1
DEVELOPMENT NO PI t ZOZ�-QV 3fj PLAN CHECK FEES $