Loading...
HomeMy WebLinkAboutPV2022-0238 - Permit ApplicationPrint Form _ Worksheet for Combo Building & Solar Permit A I� Comm'I pplication o��EWaoR� Residential City of Newport Beach -Building Division V VZ� 22'0NOTE- PLAN CHECK FEES DUE AT SUBMAL ✓ F-Building (— Grading FDraina e c'` 0 111 � g [ Elec F Mech Plum Project Address (Not mailing address Floo Cu Yd Cut Cu Yd Fill r �- d L�rr ) r Fire j` Liq j- Landslide F_N/A Floor /�q � C �`S v Suite No escription of Work ..........-.. /Vevt- Use Const Type # Storiesr— # Units (if Res)F— New/Add SF Remodel SF Garage/New/Add �— Valuation $ Material/Labor OWNER'S NAME l Last - First Owner's Address .... -._.. __..._. _....._....._. Owner's E-mail Address City State Zip - Tele -- APPLICANT'S NAME - --- . -__.__ pone - -7 _. Last n� )_ First C v,•l Gi,ei2ti! Applicant's Address Applicant's E-mail Address City ®k-AA k State— - Zip r Telephone p i1 ARCHITECT/DESIGNER'S NAME �s3 7Z Last _ Architect/Designer's Address First ._........ Architect/Designer's E-mail Address City State --- .-__ _ _ Zip _ _ ENGINEER'S NAME Last Telephone F77 77� First Engineer's Address F.Lic. No. Engineer's E-mail Address City State _ Zip ._ _ _.._ - Telephone CONTRACTOR'S NAME/COMPANY Lic. No. 9 Contractor's ' Address _ti _v Class 77 y / Contractor's E-mail Address City (�i�ot State � Zip Telephone �cl/ ., b3Z '��Z3 SETBACKS REAR SETBACKS FRONT SETBACKS LEFT PERMIT NO. J �� ✓ 01 3 p SETBACKS RIGHT USE ZONE PLAN CHECK NO. 1 j DEVELOPMENT NO V PLAN CHECK FEES $