HomeMy WebLinkAboutXR2025-0547 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
I— Coni r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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r` Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) r- Flood
r Fire r` Liq F_ Landslide rN/A Ftoor Suite No
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Description of Work
Use F—ConstType F4
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# Stories # Units (if Res)[—
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Valuation a
Material/Lab
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New/Add SF Gara e/New/Add
OWNER'S NAME Last 5 (t 0s tx
First Au P
Owner's Address
Owner's E-mail Address
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City NQ.W n fi State G&
Zip [_ Telephhone LI 5/ q � _..3 41 1
APPLICANT'S NAME Last FL 'IT, I. rD
First L�Ct V 1 d
Applicant's Address
Applicant's E-mail Address
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City 6` 1 u (�S I ,� Q State C A
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Zip �/' ,5'p ry Telephone. ��1! __ / � ! " 4 d 0
ARCHITECT/DESIGNER'S NAME Last FirstI Lic. No.
Architect/Designers Address
Architect/Designer's E-mail Address
City I State ��
Zip I Telephoned
ENGINEER'S NAME Last �
First F_ Lic No.F_
Engineer's Address
Engineer's E-mail Address
City I State F—
Zip [_ Telephonel�
CONTRACTOR'S NAME/COMPANY sf Yt/L C U C a /�
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/t Y He1 Llc. No. 6 Z-r/�'3 Class
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Contractor's Address
Contractor's E-mail Address
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City ticth� State 1_
ZipTelephone�L�C)_,�f�-,n�cj/L�
SETBACKS REAR SETBACKS FRONT
PERMIT NO. xj {'�2dTL�" O SC-{'
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES S