No preview available
HomeMy WebLinkAboutXR2024-0273 - Permit ApplicationI Worksheet for C`o bo Building & Solar Permit Application ,F EUP°rm F-i4reeidential City of Newport Beach - Building Division l NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL •ding FGrading F-Drainage F_Elec I-Mech rPlum cuYdCut [_ CuYdFill F ®ject Address (Plot mailing address) I— Flood j- Fire r Liq (- Landslide F_N/A Floor Suite No Description of Work Use UConst Type # Stories ;� # Units (if Res)�1j t��/"�f�J Egli Valuation $ Material/Labor ��/• �Y�/ll�ry{( %i�•h /�>�L%i�,� ���/ / /�IC X £��/ /""�/Zip �i �'TCrr<C�/'r� L!(v/rl� z'/'f'rT L �•u/c,G. /w c`i- �*`rS.���`��r' �[ /Z+i2 7 `ir•t� New/AddSF�— ernocFelSF/�c� Garage/New/Add �'�— OWNER'S NAME Last '%/-f?' 11'24�I/First Owners Address Owner's E-m ' ss City �- State Zip Telephone[— APPLICANT'S NAME Last X First fi \� Applicant's Address Applicant's E-mail Address l/ Gf�L` �'. C�`�c✓ l./tr/�li/C1/` .-1 Q,i/(Gi _ L=— City /_ f-57 i� �+� 6/1 D State /1 Zi �'' � r " r �- P /�/i� � Telephone / � � Ltd , - 4�z�/! ARCHITECT/DESIGNER'S NAME Last PZ- ft/t` i % /G% First �AVdl Lic No •Z`Sm ArchitecVDesigner's Address Architect/Designer's E-mail Address SAZi/f li`� 'A 3L'4 City 'State TelephoneF— ENGINEER'S NAME Last r— First �— Lic. No.F— Engineers Address Engineer's E-mail Address City �— State �_ Zip F_ Telephone[ — CONTRACTOR'S NAME/COMPANY Lic No. F— ClassF- Contractor's Address Contractor's E-mail Address City F— State �� Zip F_ Telephone(-_-- Tc SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 7 USE ZONE DEVELOPMENT NO PLAN CHECK FEES S