HomeMy WebLinkAboutX2022-0339 - Permit ApplicationX2022.0baw
Print Form 1 Worksheet for Combo Building & Solar Permit Application F_ Comm'I r -Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding F_ Grading rjDrainage _ iElec rMech rPlum CuvdcutF CuvdFill Y
Project Address (Not mailing address) r Flood r—j Fire r, Liq j— Landslide f—,N/A Floor Suite No
Description of Work 4 d
Use Const Type I
# Stories[ # Units (if Res)
G AY CV
/ G
o/yOne ,_ Lo�l iewr- - /l T f j
-
Valuation $ 2� 06
Material/Labor / t7` (,
New/Add SF�� Remodel SF�—i Garage/New/Add ��
OWNER'S NAME Last First('
Owner's Address Owner's E-mail Address
/ j� A^ _ _ / Zip j�9�� Telephone q d IG%
City �(J�O Qe� AW State (• - L I L �' /. f q7
APPLICANT'S NAME First �^r�, �^VVI�A
Last Fi
_-� - v�70 _._
Applicants Address Applicant's E -m it Address
Citycv-'I - ' 1'r✓_..1-4-I-- —S-----1 State -- - - -----_ Zip _167 _ 7/Q Telephone 7(G 1.(oG�----IQ&3
V l
ARCHITECT/DESIGNER'S NAME Last First � Lic. No.
Architect(Designer's Address Arch itect/Designer's E-mail Address
City StateZip Telephone��ii
ENGINEER'S NAME Last �— First ', Lic. NoF
Engineer's Address Engineer's E-mail Address
City State Zip Telephone
�j
CONTRACTOR'S NAME/COMPANY l l/- 7 / Classat
Contractor's Address -ntrr'sEmailAddressic.No.
F0�f3 K 3i U
0 IC Telephone (I 7t5_1(0U(-. _-
City State Zipq-0-6MI
(/PERMIT
4EEITBACKS FRONT o t
SETBACKS REAR _ 7oZ e 7"40
NO.
SETBACKS LEFT e SETBACKS RIGHT J r PLAN CHECK NO. 6 pV620
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $
Z