HomeMy WebLinkAboutPV2023-0097 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application o��EW�Re
F_ Comm] Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
j-Building r Grading r'Drainage r Elec r Mech I- Plum CuYdCut F CuYdFill F
Project Address (Not mailing address) i— Flood
F_ Fire F_ Liq r Landslide [_N/A Floor Suite No
11 AZ CA PP- ,TE 2 PD 61 Z6 ZS
6 1-0
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Description of Work
Use Const Type
P\j SbLA-tz- HOVELS c V110-0 INyGr*S
FluS�t�akN�A
# StoriesF # Units (if Res)F
7), Iz Ga i
Valuation $
New/Add SF L 1 L W Remodel SF I Garage/New/Add F-
Material/Labor 81 606
OWNER'S NAME Last lGl'1��SON
First F��'i-s►�1^r5
Owner's Address
Owner's E-mail Address
CE 9t A?A STr I( b
City ��Ip,State G�
Zip 9zG 6 o Telephone - Tj9_ aj3113
APPLICANT'S NAME Last i3,vi3A
First I V ,N
Applicant's Address
Applicant's E-mail Address
0A U- s-�
VI'vo br, j ht(4,--6I ar. coM
City (&.C-TA M F S 7f- State I ()`i-
Zip y� Telephonee o� _!{ g &k - 3q 3
ARCHITECT/DESIGNER'S NAME
First Lic. No. �J
Architect/Designer's Address S /� S A?j0 (L-
Architect/ Designer's E-mail Address
City State F
Zip I Telephone
ENGINEER'S NAME Last Mp �S
First Not,+S Lic. No. 6`( J 663
Engineer's Address
Engineer's E-mail Address
City l2"c" 5.4Nv'� '44--R4,,ir,,oA State
Zip Rz(,St Telephone R�q- S-_��by
CONTRACTOR'S NAME/COMPANY �2tG,EFT %+_.
SDtvi! z Lic. No. (6ZyZ Class
r
Contractor's Address
Contractor's E-mail Address
S AS SIP 1 I C .A NT
City I State F
Zip �- Telephone
SETBACKS REAR SETBACKS FRONT
PERMIT NO. 'Y� vol -I
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.L2.p faj� b3�0
USE ZONE DEVELOPMENT NOOI)2d?l;!!
- PAM PLAN CHECK FEES $