HomeMy WebLinkAboutXR2022-3215 - Permit ApplicationPrint Form
'Comm'I F_
J . Workshee"I, for Combo BuHdJ ng & Solar Petmit ApplicaUon
Residential City of Newport Beach - Building Division 0 wl- lj Zli5
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building F—L,Grading [—Drainage [_ Elec j` Mech F Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) Lm Flood Fire F— Liq F_ Landslide F_N/A Floor Suite No
Description of Work ?�G �' Z, �•Q� %4�i1 i v;% /� /�pv '
Use �4 onst Type C
# Stories 7 # Units (if Res) �,
1
Valuation $
MaterialLaboRem6delSF r f ��
%l i!!, PzA/ ZZE
Garage/New/Add SFF
OWNER'S NAME Last /�%�' �/h� //V�; (c'� First
Owner's Address Owner's E-mail Address
City State �® Zip �® Telephone
APPLICANT'S NAME Last %'7- "/4�X First ,
Applicant's Address Applicant's E-mail Address
City 1 L f jL < G 1J,: V,j State Zip 4�L Telephone f �' Gj �� � _
ARCHITECT/DESIGNER'S NAME Last First /V1I�� �,/ Lic. N cill,"�
Architect/Designer's Address Architect/Designer's E-mail Address
evt
City State _Zip --- ' �— Telephone
......... .
ENGINEER'S NAME Last First F Lic. No.
Engineer's Address Engineer's E-mail Address
_._.-.._ _..... _.. _.._._.....- --
State Zip 1 • Telephone 7
'7R'S NAME/COMPANY F I"
. . . . . . . . . . . . .
ass Contractor's E-mail Address
State Zip Telephone
SETBACKS FRONT PERMIT NO. Sow, 5V t
SETBACKS RIGHT PLAN CHECK NO. �Gj+�'
DEVELOPMENT NO PLAN CHECK FEES $