HomeMy WebLinkAboutXR2023-3485 - Permit ApplicationPrint Form I Worksheet for Combo Building d& Solar Permit Appiication
(— Comm'] F_ Residential City of Newport Beach - Building Division
>/ NO-i F PI AN cHFnu FFr-c nl IC Ar TIKA= .,
a,EW POR1
4
- - - - -- — 1 uvl� yr OUDIVII I I AL
7 ullding f Grading F-DDrainage j— ec ce h [
.11 IUm Cu Yd Cutl Cu Yd Fill F
Project Address (Not mailing address) F Flood F_ Fire F Liq r Landslide [_N/A Floor Suite No
17 MUI►Z L
Description of Work
I--
Use R 3 Const Type -2
w
C
=L Z pkwE I S )LL0
V
Units (if Res)
GoIOR %Wtaoc+w R-wL'o I^ASI � g6`rl>, YSrr�D /
L
Valuation $
Material/Labor 3ur7QrQCJO
New/Add SFF — Remodel
SF I $U 6 g /New/Add
Gara e �—
OWNER'S NAME Lastr
First }� t
—GL S ��
Owner's Address
17
' V
Owner's E-mail Address
Mvop 08E �i�
City nSgv�rjl� r rjI {
State G% Zipq
C1 Telephone 375, ZCA27
APPLICANT'S NAME Last
f --
First M el,b
Applicant's Address
Applicant's E-mail Address
Bo cot251 b¢ .
MWua MSD Des) �
City r—_-
N �W �dRj
ho
State C� Zip IZ G Telephone 9(—r 300 7216 7
I l
ARCHITECT/DESIGNER'S NAME
Last C�,,
`..•' W First �I--- `Q -- Lic No. F_
Architect/Designer's Address
Architect/Designer's E-mail Address
30 Go¢ SIG, biz_
Cityr� Zip �Telephone
L)k °��30� 39 c
ENGINEER'S NAME Last
First NO N — Li c No.
Engineer's Address
Engineer's E-mail Address
l �2$ �/SIZD�1V1i)jZ�,
tANC
City ��
�pQ j t 4U�
State F I pJ1 P
Zip c Telephone � 14 8x g
CTL 235 6
CONTRACTOR'S NAME/COMPANY
1�r 1T ��� E Lic. No. 6 2$S Class
Contractor's Address
Contractor's E-mail Address
7-77GZ �N-ruNtQ �,4y
CS
5vM5 I — —FCoN STtzucrorLS e
City � � nC.}F
tv, d i ,_
�
State [�� Zip I 7 0�,/ Telephone 14d , 7� 7.31 1
�l 1 `Y—
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKSLEFT
SETBACKS RIGHT PLAN CHECK NO. 0i CD-0
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $