HomeMy WebLinkAboutXR2024-6225 - Permit Application-7 -7 z
Print Form Worksheet for Combo Building & Solar Permit Application ��Ew�ae
r Comm'I F�esidential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
,{Building F-Grading F-Drainage rElec i—Mech rPlum CuvdCut F CuvdFill F
Project Address (Not mailing address) F_ Flood F_ Fire r Liq r Landslide FN/A Floor Suite No
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Description of Work
Use F—ConstType F_
# Stories #Units (if Res)
Valuation PI-6i o c
%� ,I,. c..I."—i5 ._I.ier,- ( ,, 6- kF ,
NR_w ek, _1C:�1
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o Garage/New/Add �—
New/Add SF Remodel SF 2 O o
Material/Labor
OWNER'S NAME Last First VA
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Owner's Address OwwnersE-mail Address
Owners
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City LT \-- V�cv State C 11 Zp �1 1 7Ij y Telephone 9Q 20 $ -SOb5--
APPLICANT'S NAME Last; e First F7 1 �r
Applicant's Address Applicant's E-mail Address
I t y 7 p t
State Zip 'J / 7 y7 f Telephone p g� Zo 9 - -�-t I,
City C `�
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ARCHITECT/DESIGNER'S NAME Last First Lic. No.
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Architect/Designer's Address Architect/Designer's E-mail Address
y 1 )- C tzA ?���,( �r She_ ,QC-cl C
City �. �2 rlG -A,r, State C Zip �''ZS32 Telephone %S t c/o -4jS 7
ENGINEER'S NAME Last First F Lic, No.F
Engineer's Address Engineers E-mail Address
City � State �— Zip �— Telephoned
CONTRACTOR'S NAME/COMPANY Lic. No. F-- ClassF—
Contractor's Address Contractor's E-mail Address 13 -T 3a n y j S 2 7
City State �— Zip F Telephoned' —
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $