HomeMy WebLinkAboutX2022-0808 - Permit ApplicationI Worksheet for Combo Building & Solar Permit Application
Residential City of Newport Beach - Building Division 0 NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITtAl
Ig Grading f-Drainage F_ Elec F Mech F-, plum
,,ject Address (Not mailing address) f- Flood f-.. Fire I— Liq
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Description of Work
,5 --F
I . .................
Cu Yd Cut F77 Cu Yd Fill 17
[7, Landslide FN/A Floor
F77
711c (N) Lr1pc ,,6 Qj 13 W aQL-A A IR o
Suite No
F—
Use Const Type
# Stories r:) # Units (if Res
City State ............ . ...... ..... ij C-1q C te
... ....... Zip p
. ........... . ... . . . ..
........ . ....... Telephone
F
APPLICANT'S
I
Last - g
Applicant's Address
Its
.... . ......... -�)775_ BA9-QA.
... . .. . ......... . ............... . ... ................. .... . C 'Avi
.. . .. . . . ............. ..... I... -
City -7.1 eVState
........ . ..
.......... .. ...
ARCHITECT/DESIGNER'S NAME
First
Applicant's E-mail Address
........... ....... . .......... .... . .....
Zip 9 2 61 g Telephone f 9 4-4 'L, 8
............... *_8 Z -12 3
Last r
-7 First
Architect/Designer's Address
........... A RP .. ................
City State
CONTRACTOR'S NAME/COMPANY
Contractor's Address
City State
Lic. No. F, 0
Architect/Designer's E-mail Address
Zip Telephoner
...... . ......
Lic. No. F Classr7
Contractor's E-mail Address j J
Zip Telephone
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT
USE ZONE
SETBACKS RIGHT
DEVELOPMENT NO
PERMIT NO. 7 8
PLAN CHECK NO. 07S> 0 — Zo-z_--z_
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