HomeMy WebLinkAboutPV2022-0290 - Permit ApplicationPrint Form WorKsneet for t;ompo tsullaing & Solar Permit Application
Comm'I Residential City of Newport Beach - Building Division PV �22� V �� o
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building F- Grading F-Drainage Y,, Elec r Mech F7 Plum Cu Yd Cut F_
Cu Yd Fill
Project Address (Not mailing address) Flood
Fire Liq
LandslideN/A
Floor
Suite No
121 ���v oar
VVv
21�2�F_
I
Description of Work
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,u I Camuo amou
New/Add SF Remodel SF Garage/New/Add
Use F— ConstType F—
# StoriesI BYO # Units (if Res)
Valuation $ (,� t wo
Material/Labor
OWNER'S NAME LastMOAb First I Lam
Owner's Address Owner's E-mail Address
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City Mom A41 i/ lar State FEE Zip � Telephone q- 22 -sjAd
APPLICANT'S NAME Last Ma . First Q!Y jVA Y L
Applicant's Address Applicant's E-mail Address
N r b ofmaS Sun I ouc . cor�1
City Weill a State 1971 Zip 112410 Telephone Vol
ARCHITECT/DESIGNER'S NAME Last First Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
City State F— Zip I Telephone
ENGINEER'S NAME Last
First Lic. No.
Engineer's Address Engineer's E-mail Address
City State F Zip I Telephone
CONTRACTOR'S NAME/COMPANY 'n u V Lic. No. J Class F
Contractor's Address Contractor's E-mail Address
w� 1 ors
City State Zip Telephone ll`�I 2-
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT
SETBACKS RIGHT
PERMIT NO. PUZUZ`Z,- 02q0
PLAN CHECK NO. 1 C ZOZ 2 ^ 27-87
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $
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