HomeMy WebLinkAboutXR2023-1788 - Permit Application (2)Print Form Worksheet for Combo Building & Solar Permit Application @14,1
�City of Newport Beach - Building Division J Comm'I � Residential NOTE PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
JXBuilding iGrading [—Drainage r—Elec rMech
I— Plum CuYdCut CuYdFill
Project Address (Not mailing address) IJ Flood
r Fire F_ Liq r Landslide iN/A Floor Suite No
Coast
F_ F_
0 Via Coralle Newport
Description of Work
Use F—ConstType F_
# Stories #Units (if Res)
wo story addition and remodeling
Valuation $ 00000
Material/Labor
New/Add SF 29 Remodel SF F25 Garage/New/Add r---
OWNER'S NAME Last rang
First inghus
Owner's Address
Owner's E-mail Address
0 Via Coralle
agafang88@gmail.com
City ewport Coast State--
Zip 2657 Telephone 23-818-6128
APPLICANT'S NAME Last ukhliss
First azln J
Applicant's Address
Applicant's E-mail Address
308 Celtis PI
mukhliss@gmail.com
city ewort BeachpState FT__
Zip 2660 Telephone 49-500-8663
ARCHITECT/DESIGNER'S NAME Last ee
First lex Lic. No. FUZT321
Architect/Designer's Address
Architect/Designer's E-mail Address
8001 Irvine Blvd. Suite 206
ustin State
Zip 2780 Telephone 14-280-2927
City
F_ Lic. No.F_
ENGINEER'S NAME Last F—
First
Engineer's Address
Engineer's E-mail Address
City [—_��--� � State �—
Zip F_ TelephoneF—
CONTRACTOR'S NAME/COMPANY y owner builder
Lic. No. F _ ClassF
Contractor's Address
Contractor's E-mail Address
City F--��--y � State F�--
Zip F— TelephoneF—
PERMIT NO.A?023 * 17112
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. Mano l5
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $