HomeMy WebLinkAboutXR2023-3340 - Permit ApplicationPrint Ferro I Worksheet for Combo Building & Solar Permit Application
F Comm'I r�Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing address) f— Flood r Fire f Liq r Landslide [-N/A Floor Suite No
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Description of Work
use F—Const Type F_
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# Stories #Units (if Res)
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New/AddSFFu� Remodel SF
Garage/New/Add—
Valuation a �-0 `�
Material/Labor �FJ
OWNER'S NAME I
Last tl7 U t��� -P [:�t'�
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First IJr� Y..7Yrnh�j
Owner's Address
Owner's E-mail Address
City �`� State C� Zip Tl Z (o I c, Telephone c? y C/, cj 3 3 0 j 6 Lf
APPLICANT'S NAME Last �L _/ ..(
First
Applicant's Address
Applicant's E-mail Address
City 1� State
Zip Gj 1 .3 Telephone
ARCHITECT/DESIGNER'S NAME Last
First �— - Lic. No. F
Architect/Designees Address
Archit signer's E-mail Address
City e
Zip F_ TelephoneF�
ENGINEER'S NAME Last f -
First �— Lic. No.F—
Engineer's Address
Engineer's E-mail Address
City tat- �—
Zip- Telephone
CONTRACTOR'S NAME/COMPANY i I V
Lic No. i 4 i l l, Class t3
Contractor's Address
Contractor's E-mail Address
Z; ?Loci/1 }IS_
City I �I', State I (-(--
Zip i Z/otp Telephone .I /`I 2 3j" 32`jy
SETBACKS REAR SETBACKS FRONT
PERMIT NO. /'Q/lA�jJj• ^hh-� O
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK IN • 2�a'SS-
USE ZONE DEVELOPMENT NO
PLAN CHECK F ES $