HomeMy WebLinkAboutX2022-0793 - Permit ApplicationrPnnt Worksheet for Combo Building $ Solar Permit Application
C Comm'I L' Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[Building CGrading
r-Drainage EElec [Mech r. Plum CuvdcutC Cu vd Filll
Project Address (Not mailing address) C Flood [ Fire [ Liq C Landslide GN/A Floor Suite No
Description of Work '
Use C ConstType C
TDel,O
wopL
# Stories #Units (if Res)
Valuation S _
Material/Labor
New/Add SFF---
Remodel SF 1 — Garage/New/Add
OWNER'S NAME
Last First
Owners Address
Owner's E-mail Address
aD I f=jL ;'
v> Sf 2
City, State Zip [_ --::7 Telephoned
APPLICANT'S NAME
Last [�{1�,Z_ Firsts
Applicant's Address
Applicant's E-mail Address
City
State Zip ! Telephoned'
ARCHITECT/DESIGNER'S NAME Last 5Avf7First 4A � — Lic No.
ArchitectlDesignerssAAd'dJress
ArchitectlDesigners E-mail Address
City(( ^
State C-� Zip j i Telephon -Ij}�
ENGINEER'S NAME
Last First
Engineer's Address
Engineers E-mail Add -mail Address
City
State �— Zip [7777 TelephoneF—
CONTRACTOR'S NAME/COMPANY JS� �(L L Lic. No.� LIZ Class
f K 7YJua-.fZCI -- T
Contractors Address
Contractors E-mail Address
1 /
City ice`{ (-{rI� State _L�.� Zip ��7 TelephoneZ�3�
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SETBACKS REAR
SETBACKS FRONT PERMIT NO. Z�ZZ "G% q3
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. 07
USE ZONE
DFVFLOPMFNT Nn Z-� 13 C, oLAN CHECK FEES $