HomeMy WebLinkAboutX2022-0387 - Permit ApplicationC Comm'I
_ Worksheet for Combo Building & Solar Permit Application
Q'rffesidential
City of Newport Beach - Building Division
NOTE: P, AN CHECK FEES DUE AT TIME OF SUBMITTAL
[Building rGrading Drainage Elec F—Mech F- um Cu ydcutF—
Project Address (Not mailing address) i ' Flood r4Fire (_- Liq r Landslide
of Work
a () E - <<C= 01\QQC- L
Cu Yd Fill
rN/A Floor Suite No
— C
Use C' Const Type F"
# StoriesF # Units (if Res)I J
New/Add SF Valuation $
— Remodel SFs 2�j Garage/New/Add ���' Material/Labor l
OWNER'S NAME . Last
Owner's Address
G U'n--
City
State R
First
Owners E-mail Address
&A6271C-r-Vf
Zip
S>
APPLICANTS NAME Last First
Applicant's Address Applicant's E-mail Address
City State. C Zip �— Telephone
ARCHITECT/DESIGNER'S NAME Last
Firstl f-j1LL Lic. No.
Architect(Designers Address ArchitectIDesi nets E-mail Address r T4010 c a IL
S.l IG .. RefficDtL & - 2cop r
7i`71
n_'Z.�1
City �' //SS/G6 C) State C Zip . Telephone f7 % 5-�a,�C/
ENGINEER'S NAME dLast First S kv C fj Lic. No. K 3 Z (/5
i
Engineers Address YCAA1 Engineers E-mail Address
City State F— Zip F7 Telephoned
CONTRACTOR'S NAME/COMPANY 2�%a(7s L /� Lic. No. ClassF
Contractors Address Contractors E-mail Address
2717t a,�� ��t
M �� �-'�. CcK.:�
City j27/Ssick) Lh State I��/ Zip `� L Telephone--
T, 04
SETBACKS REAR SETBACKS FRONT PERMIT NO. � 2CZ4 ^ (.>38?
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. (p-, Lt I _7 Q 27,
USE ZONE DEVELOPMENT NO PLAN CHECK FEES S GUv, q 7