HomeMy WebLinkAboutPV2023-0391 - Permit ApplicationPrint Form 1 Worksheet for Combo Building & Solar Permit Application
F Comm'I F Residential City of Newport Beach - Building Division lF/
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL d,A
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F_Building F_ Grading F-Drainage r Elec F Mech F- Plum CuYdCut F CuYdFill F
Project Address (Not mailing address) f Flood F_ Fire r Liq i- Landslide I -N/A Floor Suite No
3 Sin d once Dr F_
Description of Work
Use ConstTypeF_
11 fng� SEC7 �tOS (A/MVdwIe5.
# StoriesF_ # Units (if Res)F_
Valuation $
Material/Labor (%
u�
(ASf+lfl 9 M!"ffVjAgf17e,-S. 3.645 ky 5,1-ze
New/Add SFF— Remodel SF F Garage/New/Add F—
OWNER'S NAME Last qA 5 f First 0 1! n I w A e
Owner's Address Owner's E-mail Address
3 Sund,art De- dd 5,A,5e @-5be,gfobrl.�e><.
City n/' (Wr o /-'' B e 1 C h State C 4- Zip W k i3 Telephone (94 9j,i -SS 7 7
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APPLICANT'S NAME Last Con fe 1f
l-First y4Vj Pr
Applicant's Address Applicant's E-mail Address
Sol 67lentiexfe _Xfitlr95a � 5ol,�,co.-I
City L" 4M .B C! C)l State C 4 Zip Z b.Sl Telephone Ste, 1231 -97S7
ARCHITECT/DESIGNER'S NAME Last First�—
Q n y 4Zly� ,gjel Af LIc.No. 188793
Architect/Designer's Address Architect/Designer's E-mail Address
Pf0.XC+SqV eve4fj4eef5Vf;co1j
City State F- Zip �— Telephoned
ENGINEER'S NAME Last First F Lic, NoT—
Engineer's Address Engineer's E-mail Address
City State Zip �— TelephoneF_
CONTRACTOR'S NAME/COMPANY S,d I e 5 0 fK ► D� vt f0 Pitt/f Lic. No. 9 2533 Class C�tb
Contractor's Address Contractor's E-mail Address
/hr`k ip 54J1Qr 50141-,60M 901 G'iee4e,,'1-e 3�-
City Lit 9 v& y ajl�4 Ch State Zip 7 j, is 1 Telephone G 9 y 9) - S 8 q YS � o
SETBACKS REAR SETBACKS FRONT PERMIT NO. 0LAI
7
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $