HomeMy WebLinkAboutXR2024-0110 - Permit Applicationcorm_,_) Worksheet for Combo Building & Solar Permit Application
r- Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
\J Building j- Grading r•Drainage j-, Elec r. Mech Plum I�'
- � i- Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) f Flood r Fire [ Liq F Landslide F_N/A Floor
Suite No
----------
Description of Work
X-C
IDS
- 600N ool-Y, r2 V✓tOd-.2-\ . �,J2w
s
Remodel SF
--. -__ lc;- Garage/New/Addlr —
OWNER'S NAME Last
Owners Address
5 a1-e 1 First
city N -
®� dak_S�- State FC
APPLICANT'S NAME
UseQ Const.Type I V Lf
# Stories # Units (if Res) M 1
abort 3 ov-
Owner's E-mail Address
,i �t 5a\2h dd S ®-i G
Zip Ol2tP Telephone ct�—
Last I C Y r , ��o -- - First
Applicant's Address
Applicant's E-mail Address
1-+- �
CityCQ.SCCOc—
!I -
State r Lt� Zip Z� Telephone
ARCHITECT/DESIGNER'S NAME
Last Ca F v ` First —I
rchitect/Designer'sAddress -' --__-
ArchitecttDeesiggnneers E-mail Address
It
City �,II� \ --- -
lV 4 L� - State, J C_ d i Zip
r(Z (o Co U Telephone 2
ENGINEER'S NAME 0 st
First �— Lic. No.F�
Engineer's Address
Engineer's E-mail Address
City State
- - - - - - Zip F_ TelephoneF
CONTRACTOR'S NAME/COMPANY (VC(. .No. io tftClass
Contractors Address \ P
Contractors E-mail Address
11 - � _ o�l� - 2 Ss e-T bY_
city a���,� �- �Cjma�\, cv,--�
Y� State L E Zip Telephone TS' I � S 3 _
SETBACKS REAR SETBACKS FRONT �(iI7n�J� O I I' O
SETBACKS LEFT SETBACKS RIGHT
041
PLAN CHECK NO. �20zy �007C+
USE ZONE DEVELOPMENT NO PERMIT NO.
PLAN CHECK FEES $