Loading...
HomeMy WebLinkAboutXC2022-2132 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application FQ Comm'i F- Residential City of Newport Beach - Building Division I ^ 1 NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL FABuilding Grading f—Drainage F—Elec Address ILci �D�c 5� [Meth F Plum Cu Yd Cut F7 Flood f— Fire r Liq r Landslide New/Add SFI Remodel SF q Garage/New/Add F— OWNER'S NAME Last N urn rt J"ry First Jcn 0-r--of Owner's Address Owner's E-mail Address l (YAcT11U1� vWD._i 7PuLttf-1T6rvCy1PG-LoM City %Jk11NP�4LT iil�"Yh State �— ZIP riZI�,D Telephoner g—f+-Rzw Cu Yd Fill F—N/A Floor 3Q Suite No s_�a. Use 5 Const Type Fl A N StoriesT # Units (if Res)F Valuation $ ',��r O©E) Material/Labor 1� APPLICANT'S NAME Last,DW �L� First Applicant's Address Applicant's E-mail Address a . C�a��roc s .2vssPAs�rn city 7� State �— Zip q�ib%io Telephone G ARCHITECT/DESIGNER'S NAME Last --- FTTit LL FirstL Lic. No. Architect/Designers Address Architect/Designees E-mail Address �l � � SDL 57� �Lo� t2fl-NDC'6PRl�_�oL. �M City State I 4�Zip �7 Telephone Z 4, 14-"�j ENGINEER'S NAME Last .nJQilt First z�fi_tflj Lic No.�;j���� Engineer's Address LC (1' q it ) Engineer's-Ew Address Z50(ZAN DPI City I7t G1 t _ State I Zip Telephone FI4. 1��6 CONTRACTOR'S NAME/COMPANY o7sI t nc \ l P } ` Lic. No. qv7i1-7 Class Tr Contractor's Address Contractor's E-mail Address lj rc{c �✓ Cu�si I�eG�eoe�o�rnc.�i .� City LZ .r kr 61-,ti State L Zip 1?�i `'_ Telephone 7fy 2c5 CZi� Pe ?,0z6 OZ90 SETBACKS REAR SETBACKS FRONT SETBACKS LEFT SETBACKS RIGHT USE ZONE - nFVFI npenFNiT Kin �v PERMIT NO. A& ZiJJ/?j , `L/3 'lj PLAN CHECK NO. 0 7(o C' Print Form Worksheet for Combo Building & Solar Permit Application City of Newport Beach - Building Division 1� F_ Comm'I j— Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL F_Building F_ Grading F—Drainage F_ Elec j—Mech r" Plum CuvdCut CuvdFill F Project Address (Not mailing address) r Flood F_ Fire F_ Liq F_ Landslide F_N/A Floor Suite No Description of Work Use I— ConstType # Stories7 # Units (if Res)F_ New/Add SFF— Remodel SFF Garage/New/Add F Valuation $ Material/Labor OWNER'S NAME Last First Owner's Address Owner's E-mail Address City State F Zip F— TelephoneF_ APPLICANT'S NAME Last First Applicant's Address Applicant's E-mail Address city State Zip F_ TelephoneF_ ARCHITECT/DESIGNER'S NAME Last � First F_ Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City State F— Zip F Telephoned ENGINEER'S NAME Last � First F_ Lic. No.F_ Engineer's Address Engineer's E-mail Address City State F_ Zip F_ Telephoned CONTRACTOR'S NAME/COMPANY tl O (O t / / _ _ c f` I_V o q 3 SClassF 1/ 7 /(/ Contractor's Address Contractor's E-mail Address E�mSpe(� r`"^� Y f ro �,boFfYoseWrdo sue,. ca , City �,(f✓�Yy� State r—l/K( Zip Z��� Telephone �H�>�7�—?!1 SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $