HomeMy WebLinkAboutPV2024-0090 - Permit Application°°R
Print Form I Worksheet for Combo Building & Solar Permit Application r
- - - -
r Comm'I Residential City of Newport Beach - Building Division °
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[-Building i- Grading
rDrainage 1�Elec F Mech j- Plum cuvdCut � CuvdFill F
Project Address (Not address) r- Flood F_ Fire F_Liq r Landslide r_N/A Floor Suite No
51( ,gcUc 1i1
Amailing
IlV N2 rk F_
Description of Work
Use Const Type Solrar
MoU �
av- I
# Stories # Units (if Res)F
Valuation $
Material/Labor j\Woo)
New/Add SFFP2W
RemodelSFF Garage/New/Add
OWNER'S NAME
Last First
Owner's Address
Owner's E-mail Address
51 (� IN(_ JkL\ram
City
State Zip F— Telephoned
APPLICANT'S NAME
Last ,(yt,Avt,[beFirst _12yW4_0vt
Applicant's Address
Applicant's E-mail Address
3923 _e_evcrt
ITt.Clec+r;r-a Pk-oo,LOwt
City "VtfC,
State C(i Zip -6(LSo3 TelephoneLjyq)r.{yt-G144
ARCHITECT/DESIGNER'S NAME Last First F Lic. No. �—
Architect/Designer's Address
Architect/Designer's E-mail Address
City I
—
State F_ Zip F_ TelephoneF
ENGINEER'S NAME
Last First F_ Lic. No.F
Engineer's Address
Engineer's E-mail Address
City
State F_ Zip F_ Telephoned
CONTRACTOR'S NAME/COMPANY In�ev9�q
oje6I<14MLkt��OSy ��%ri( Class (-IU
Contractor's Address
Contractor's E-mail Address
13923
rFe-EIeav;,eyA"Co -Cowl
City 5 iveVS ('e
State c� Zip 92503 Telephon `m)-ii-")4ci
4q
SETBACKS REAR
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SETBACKS FRONT PERMIT NO. �-i" U - /A l�
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. Z OL 02,
USE ZONE
DEVELOPMENT NO TZ-_"7-7— 0��� PLAN CHECK FEES $