HomeMy WebLinkAboutPV2023-0084 - Permit ApplicationPrint Form Worksheet for Combo Building 8t Solar Permit Application S
F_Comm'I (-jd ResidentialCity of Newport Beach - Building DivisionNOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
PBuilding F_ Grading F-Drainage I- Elec F Mech (- Plum Cu Yd Cut Cu Yd Fill F
Project Address (Not mailing address) r Flood r Fire r Liq r Landslide FN/A Floor Suite No
1610 W Wn-RDn+- Uni+ 13�—
Description of Work
Use � ConstType
V: 3• 5
f�l)Zrchine r{nlpr
# StoriesF2 #Units (if Res)
ZxM7-S+t108-405 C7)E/7phoat 08101vs
1nVj2,r+erT
Valuation $
Material/Labor Fa,-7 35 oo
r
New/Add SF �— Remodel SF Garage/New/Add I
OWNER'S NAME Last f�nder�ovt
First POW
Owners Address
Owner's E-mail Address
I(olb W O�an{�an+
Refiertvld�roatdrunner.com
City Newport &oia, State I CA
Zip Gl1 2(D(p3 Telephone -
APPLICANTS NAME Last li�eol
Ft'YI I rl L
First
�4GY121 p rl O
Applicant's Address
Applicanfs E-mail Address
133-I8 Mon+e ViS+tt
asad rwtt�rmi+sPyw)a/�.coh t --
City C�thO State f
Zip g1710 Telephone-j(�-$p�-87&4
ARCHITECT/DESIGNER'S NAME Last
First Lic. No. F—
Architect/Designers Address
Architect/Designer's E-mail Address
City State F_
zip F Telephoned
ENGINEER'S NAME Last
First F— Lic. No.F—
Engineers Address
Engineers E-mail Address
City �— State F—
Zip F_ Telephoned
CONTRACTOR'S NAME/COMPANY iY12nCGI n ro I6l Y ><}Gi VAi lfoly2 Lic No. IQOc1$(C s Class [ -1O
Contractors Address
Contractors E-mail Address
I33-15 Monde Vis+oi
0LS001 110R�PerMifsP ;I•com
City CHinl o Stale F6
Zip 91710 Telephone &O-8o1-8189
SETBACKS REAR SETBACKS FRONT
PERMIT NO. QV ZO13 - OOt4
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. 90,0i,3 - 03zg
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $