HomeMy WebLinkAboutXR2023-2448 - Permit ApplicationPrint For Worksheet for Combo Building & Solar Permit Application
r Comm'I r✓Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
r�uilding r Grading j—Drainage r Elec r Mech r Plum CuYdCut F_ CuYdFill F_
Project Address (Not mailing address) r Flood r Fire r Liq r Landslide F_N/A Floor
—No
I —Suite
5D// 5zi`gsc w Z)/L/U Ali 3. 9z (663 I
Description of Work
Use F Const Type F
��°cra�laU oEx��x co�rrN� o� occ�
# Stories # Units (if Res)
1V 4. �� �� �� K
Valuation $ �j
Material/Labor
I� —
New/Add SFF Remodel SF�— Garage/New/Add
I
OWNER'S NAME Last First cj/�
V
Owner's Address
Owners E-mail Address
0 / l 564 �� o2iV
City State C Zi p 9 � Telephone q �q 87�, , �,7/
APPLICANT'S NAME Last */_70// First
Applicant's Address Applicant's E-mail Address
F�bhiAm e-wsia 10/ cam
,
City �/ State I C y1 Zip !i TelephoneF—
7
ARCHITECT/DESIGNER'S NAME Last First F_Lic. No. F_
Arch itect/Designer's Address Arch itect/Designer's E-mail Address
City State F_ Zip �_ Telephone[
ENGINEER'S NAME Last First �— Lic. No.
Engineer's Address Engineer's E-mail Address
City State Zip F_ Telephone
CONTRACTOR'S NAME/COMPANY /R,r� , /(L.7„ l L, ���_7/� Lic No. y(o2 12- ClassF
!� �/V
Contractor's Address Contractor's E-mail Address
20/�l *6 C&'/`/.46& lam/. babe
City f it/�{/�jr)h/ f State C/j zip 9�(ocf(7 Telephone 562 �77 /q q
yg�y�
yy
SETBACKS REAR SETBACKS FRONT PERMITNO. YRGO23-
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK No. )--t202 - 21'id
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $