HomeMy WebLinkAboutXR2023-0894 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application C-6046-0
Comm'I [�' 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) [- Flood J_ Fire r Liq j- Landslide I -N/A Floor Suite No
Description of Work
Use Const Type
# Stories # Units (if Res)F_
!1New/AddSF1RemodelSF
Valuation$ Fist
Material/Labor®V?
Garage/New/Add
OWNER'S NAME Last A First frytoyj/
Owners Address Owner's E-mail Address
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city �i�! 7 b State VVV""''"�"" � P �� P
zip Tele hone
APPLICANT'S NAME Last First
- - - -
Applicant's Address Applicant's E-mail Address
City State �— Zip Telephone[
ARCHITECT/DESIGNER'S NAME Last First F7 Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
City State Zip Telephoner —
ENGINEER'S NAME Last j First C �_TT Llc. No, i✓ 46
Enggiineeerr's Address Engineer's E-mail Address
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city C� State r Zip Telephone %)`f-�3�j-Zpb6u
CONTRACTOR'S NAME/COMPANY /It - - /I �- � Lic. No. 1Q0 TV71 Classy 6
Contractor's Address Contractor's E-mail Address
City State Zip Telephone ' L �Z !
SETBACKS REAR SETBACKS FRONT PERMIT NO. Xgz0?.3- 0,Vq(/
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. Z, (q - LD 1 9
USE ZONE DEVELOPMENT NO PLAN CHECK FEESa 4