HomeMy WebLinkAboutXR2024-1090 - Permit ApplicationPrint Form
F Comm'I r
Worksheet for Combo Building & Solar Permit Application
Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building r Grading (-"Drainage r Elec r Mech F- Plum Cu Yd Cuts Cu Yd HI s
Project Address (Not mailing address) F_ Flood F- Fire j— Liq r Landslide F_N/A Floor Suite No
2413 _E I3G-lbea, 61vct v_A_ l F,4—
Description of Work
Use ConstType s
—
Kr"0&/
# Stories # Units (if Res)[
Valuation $
Material/Labor F,R! 18l
New/Add SFF_ Remodel SFs Garage/New/Add F—
OWNER'S NAME Last ��/(� First rsGfl
Y
Owners Address Owner's E-mail Address
16 M - 5F 6'61-17 Pl"e-
City 5(,/(e✓Le, State Iq/A - Zip Telephone���SI_yy'9r%
vFirst
APPLICANT'S NAME Last y I -roe.
Applicant's Address V Applicant's E-mail Address
/56 fir✓ w a S� -r 1/57&
1
City i'C.c��o r!t Cyr no State G 4 Zip 1-7/ 7d Telephone yS/- j,Sb 170
ARCHITECT/DESIGNER'S NAME Last G First
fiI i L% G_ i'fG�v� Lic. No.
Architect/Designer's Address Architect/Designees E-mail Address
1366 Phe � KNo//
City State F-Z;F Zip YZk$(p Telephone ���ZW-(eOZp
ENGINEER'S NAME Last � First Mt'� Lic. No. �0363
Engineer's Address Address Engineer's E-mail Address
330 A fc4a,,+nr� b F
City Q� ��, �s State Lg Zip rZ3,3 Telephone
CONTRACTOR'S NAME/COMPANY ye q, 7- L Lic. No. 0116 y/ Class 4 3
Contractor's Address Contractor's E-mail Address
I/
City / Mate Zip y TelephoneL/
SETBACKS REAR SETBACKS FRONT PERMIT NO. xR Uj CQ
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 2, 2 0Qg12
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $