HomeMy WebLinkAboutXC2023-0266 - Permit ApplicationPrint Form
Comm'I r
Worksheet for Combo Building & Solar Permit Application
Residential City of Newport Beach - Building Division
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{ Building r Grading [—Drainage *Elec r Mech F
r Plum Cu Yd CutCu Yd Fill
Project Address (Not mailing address) F Flood r Fire r- Liq r Landslide rN/A Floor Suite No
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Description of Work
Use ConstType�
# Storiesr # Units (if Res)F—
Valuation $
Material/Labor
F3
R�
New/Add SF 15 � Remodel SF �— Garage/New/Add F—
OWNER'S NAME Last
I.ITT 'V First
=Q, v I NE CC%Mrl
Owner's Address
Owner's E-mail Address
(�� 1v1nDUCa�"idrt
Dr,
city LP, U I HE
State FCA Zip 97 G 11,
Telephone
APPLICANT'S NAME Last
14 First
Applicant's Address
Applicant's E-mail Address
Souk Weer+
City (✓A
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State
Zip g0043 Telephone (j23)C?Q_C 6_r
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ARCHITECT/DESIGNER'S NAME
Last First F� Lic. F�
ArchitecUDesigner's Address
No.
�j Architect/Designer's E-mail Address
City I
State F_ Zip F_ TelephoneF�
ENGINEER'S NAME Last
First —Lic. No.
Engineer's Address
Engineer's E-mail Address
City I
State �— Zip F_ TelephoneF�
CONTRACTOR'S NAME/COMPANY
L--'r<p (-eSS S v2 N eo M Lic. No. 9/�qg C� Class C [fir
a
Contractor's Address
Contractor's E-mail Address
SOA west t> re c,c P YPsSs1-b>7191° G�kT_,v-ma. ,Cain!
City L
FCA
State Zip qoc' c3 Telephone �313� 9�j _
SETBACKS REAR
SETBACKS FRONT PERMIT NO.i U26 6
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. PGZ(Jt�'S— l-7 ZC7
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $