HomeMy WebLinkAboutPV2022-188 - Permit Applicationn Worksheet for Combo Building & Solar Per r)�itt Application o� �Ra
Comm'] Residential City of Newport Beach -Building Division (�1
NOTE: PLAN CHECK FEES DUE AT TIME OF SUB TTAL
f—Building F, Grading rDrainage rElec r!Mech rl Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) r Flood r Fire r Liq; Landslide rN/A Floor Suite No
P-4ao,4 RWO �! -
Description of Work
Use �' Const Type F
onFM�uMM PV '$ MaINV TWS,
—
# Stories # Units (if Res)[—
Valuation$ �b bOp
Material/Labor
New/Add SFF---7 Remodel SF F— Garage/New/Add F—
OWNER'S NAME Last I 'V jT3-AV First
Owner's Address Owner's E-mail Address
( (6 E _10AG13oA_ BLVD_ _
City IvEW96g.-r. � .(rlt�, State Zip.. 92Telephone ,- 664(_3;3 --....
APPLICANT'S NAME Last SIIXOk First VJJl7 _..... _._
Applicant's Address Applicant's E-mail Address
NewxAut_ Sr VIA)(2 13(ZI6Z4T-WFf,6-oWF,601/t
__11
city C6%*A E5/F State GAV Zip . 9 a i_ ' Telephone � c j:qj�_ 34,3 3
ARCHITECT/DESIGNER'S NAME Last First Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
City State Zip Telephoned
ENGINEER'S NAME Last MPaAoes First �OVGI Lic.No..6glL-'; ..
Engineer's Address Engineer's E-mail Address
City ( State F—' Zip Telephone
CONTRACTOR'S NAME/COMPANY I .�i7 � Lic. No. 662-` WT- Class
Contractor's Address Contractor's E-mail Address b/ G-31
X33. NEwH ku- St VW 9 Diz((x N-7 Li FE56LAQ.GoM
Cityr ¢6,4 _.._. State I �' Zip..4L62,--T__ Telephone
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. I (Q j 1-02-2,
USE ZONE DEVELOPMENT NO �Zb�' 01$!o PLAN CHECK FEES $