HomeMy WebLinkAboutXC2022-1897 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
F�mm'I r-1fesidential City of Newport Beach - Building Division
NOTE- PLAN CHFr.K FFFc ni i❑ AT TIARC no ci FORA1,ni
F—Building "Trading rDrainage [ Elec F_Mech FPlum Cu vd CutF_ Cu Yd Fill
Project Address(Notmailing address) C Flood F_ Fire F7 Liq r Landslide rN/A Floor Suite No
Description of Work
Use Const Type
# Stories[ # Units (if Res)F_
Valuation $ � (S/ 60 0
Material/Labor (�� i
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New/Add SF �— Remodel SF �— Gara a/New/Add F—
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OWNER'S NAME Last FI Cl/,L, i., First l %? I L cg� 4r G G, .1z C� -
Owner'sAddress L(
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Owner's E-mail Address
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City State
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APPLICANT'S NAME Last 7 2 -ten„3# First 7 n
Applicant's Address Applicant's E-mail Address
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City �V w� .:v��o L, State ZIi P i 4 �r
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ARCHITECT/DESIGNER'S NAME Last �t
r�;l+t First— Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
City State �— Zip �— Telephoner
ENGINEER'S NAME Last L +' l^:<,-,—e;�.,— First Lic. No �tr{<��1�<,
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Engineer's Address Engineer's E-mail Address
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City t'ry State _ Zip `7 &7 Telephone `? J j `7'-7. J r
CONTRACTOR'S NAME/COMPANY Lic No. Class
Contractor's Address Contractor's E-mail Address
City State �— Zip �— Telephoned®
SETBACKS REAR SETBACKS FRONT PERMIT NO. X4 -2U2 Z — I '�3 6 7
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. K202.2.-j "673
USE ZONE DEVELOPMENT NO P2u (7-®268 PLAN CHECK FEES $