HomeMy WebLinkAboutX2022-1467 - Permit ApplicationPrint Form_j 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 SUBMITTAL
—Building r' Grading ("Drainage F Elec (— Mech
rPlum
'roject Address (Not mailing
15 Narcissus
escription of Work
linear feet of max 4'-0" high retaining p
New/Add SFr--.
Cu Yd Cut
address) r Flood r` Fire F Liq j— Landslide
mer
RemodelSFF — Garage/New/Add
I
OWNER'S NAME Last
Owner's Address
city--
� HrruLANT'S NAME Last
Cu Yd Fill I
r—N/A Floor Suite No
Use T Const Type
# Storiesr # Units (if Res)r
First I ` _
Owner's E-mail Address MAY '
INTERW ES
State r-- ZlP F— "(NSUCT G GROUP
eleohnn�_
Applicant's Address
City State
ARCHITECT/DESIGNER'S NAME
Last
First
Applicant's E-mail Address
ZIP [� Telephoner—!'
First
Architect/Designer's Address
Architect/Designer's E-mail Address
Lic. No.
City State r_.__ Zip F....� —_____—. Telephoner
_. (
ENGINEER'S NAME Last(--- --
First Lic. No.F�
Engineer's Address
Engineer's E-mail Address
City
State F Zip Telephoner --
CONTRACTOR'S NAME/COMPANY
Contractor's Address
City I
SETBACKS REAR
SETBACKS LEFT
USE ZONE
Lic. No. F Class J I
Contractor's E-mail Address I
State F Zip F Telephoner --
SETBACKS FRONT PERMIT NO. X fi —
SETBACKS RIGHT PLAN CHECK NO.
--3��2.202(
DEVELOPMENT NO PLAN CHECK FEES $