HomeMy WebLinkAboutXR2024-6478 - Permit ApplicationPrint Form j Worksheet for Combo Building & Solar Permit Application °°>a
jfjComm'I/Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL ;,oa.•
fpo6llding r" Grading r"Drainage r Elec F Mech r— Plum CurdCut F_ CuvdFill F_
Project Address (Not mailing address) r Flood r- Fire r Liq r" Landslide FN/A Floor Suite No
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Description of Work AAi42
Use TL-kEonstType
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# Storiesr G,/# Units (if Res)r�
Valuation $ �e
Material/Labor
JZee-4 r Imo—
New/Add SFr— 1WrnodSrSFl - 7 cy Garage/New/Add r
OWNER'S NAME 10A6,1. �AnTT �.utirv,c, iT�
Owners Address Owner's E-mail Address
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City ��1/�Nv State -CA Zip 2{�/7 Telephone
------- 724-2Z3
APPLICANTS NAME Last 17j A K First
Applicant's Address Applicant's E-mail Address
City Did ��itr/JState C%0 zip / z_� Telephone %1 --, �
ARCHITECT/DESIGNER'S NAME Last �ii07(i % j First ;� �An/D/ Lic. No.
Architect/Designer's Address Architect/Designers E-mail Address /
City State F Zip TelephoneF—
ENGINEER'S NAME Last First Lic. No.r--
Engineers Address Engineers E-mail Address
City State F_ Zip I TelephoneF_
CONTRACTOR'SNAME/COMPANY Lic. No. w6l-O - Classl ,,
Contractors Address Contractors E-mail Address
City State F_ Zip TelephoneF
SETBACKS REAR SETBACKS FRONT PERMIT NO. x Z.O�y
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $