HomeMy WebLinkAboutXC2023-0332 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application orEW�,m
City of Newport Beach - Building Division
F_ Comm'I [-Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL V
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Project Address (Not mailing address) [- Flood [- Fire [- Liq [- Landslide [-N/A Floor Suite No
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Description of Work
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OWNER'S NAME
Last Ct{ �� I Vein perr t j
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Owner's Address
Owner's E-mail Address
City
State F_ Zip F— TelephoneF_
APPLICANT'S NAME
Last First I (bCbora
Applicant's Address
Applicant's E-mail Address
-40 1 lr*me A%A,-
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City I wiryttn!'Tton
State CA Zip qO tly Telephone aiC)—E;qLl-L"l X 13�
ARCHITECT/DESIGNER'S NAME Last First Lic No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F Zip F TelephoneF
ENGINEER'S NAME
Last First F_ Lic. No.F_
Engineers Address
Engineer's E-mail Address
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City
State r Zip F— Telephone _191170 tnj I sr —
CONTRACTOR'S NAME/COMPANY �n �ro��gn CC?Mr� ny Lic No. job Classsc
Contractor's Address
Contractor's E-mail Address
COI Lctkme Ave, ex�anp�trc,rnc4lj c o m
City I w,+mUlct'0�1
State CI A Zip L40- �.jl.f Telephone 310"�iG'
SETBACKS REAR
SETBACKS FRONT PERMIT NO. V *`2023 — 0332
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. PCZ023- 2-06 7
USE ZONE
DEVELOPMENT NO P62023-031 Z PLAN CHECK FEES $