HomeMy WebLinkAboutXR2023-0764 - Permit ApplicationPrint FormWorksheet for Combo Building & Solar Permit Application
i- Comm'I F Residential City of Newport Beach - Building Division I,
NOTE: PLAN CHECK FEES DUE AT TIME nF CI MAITTAi
Building (-Grading
Drainage Elec Mech lum cuYdCutF CuvdFill�
Project Address (Not mailing address) [ Flood r Fire f- Liq F.- Landslide F_N/A Floor Suite No
Description of Work
Use ConstT e _:, _
// # Stories # Units (if Res)
New/Add SF
-
Valuation $
Remodel SF�— Garage/New/Add --- — — Material/Labo Oa
- ---- —
OWNER'S NAME
Last First
Owners Address
,�J��
Owner's E-mail Address
(NBEf PC GGr
City Nay, State.7�
Zip �� 5 Telephone 21 z -2 31
APPLICANT'S NAME
Last 2 First
Applicant's Address
- �^
Applicant's E-mail Address
_ - -- ---- - M kV Aes1�M e wta, I.cflw
City _N -- --- -
State F2T`i Zip .I � ✓ . Telephone -�I. !Zf <- 7
ARCHITECT/DESIGNER'S NAME Last �j First
_C{2u�.. Lic.No. �—
ArchitecUDesigner's Address
Architect/Designer's E-mail Address
City
- - State �— Zip l�a/_�3 Telephone q_Z�b,5147
ENGINEER'S NAME
Last First F
Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State Zip F— Telephone�—
CONTRACTOR'S NAME/COMPANY M G�nS�YbGfC*l -TIAD 3 r Lic.No. F6149P— ClassF
Contractor's Address
Contractor's E-mail Address
22 �� O�hC�c2G'nle �L . FVtelM4� G1Y114f�.Gr J
City
State �— Zip Telephone 7 _ Qz�
1
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK N0.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $