HomeMy WebLinkAboutXC2022-2124 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application (N-P
r r Comm'I Residential City of Newport Beach - Building Division �(� � 7 ! NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITT
Building r Grading rDrainage r Elec r,,Mech
x Plum CuYdCut s CuYdFill
Project Address (Not mailing address) F_ Flood r Fire F_ Liq F_ Landslide FN/A Floor Suite No
� Fzx' zv0
2'j24 S� SR-IS'f"UL ST
Description of Work
Use p�d:aEonstType V—A
n/6w� V6at 4rry iVitLt-, /NT_ FAlzriTirwr , pe1Iz S
f}tdl ISU•ES� LjsD N4u
#Stories #Units (ifRes)�
S °Kt�
Z Frwr(ttlEr
F1Xt R pLKM61N� t P6`'�2�HIL
valuation $
New/Add SF Remodel SF Wga'L 5r. Garage/New/Add
Material/Labor F30,
OWNER'S NAME Last TY1� YR�S GeHyifN/ES -€irsi GeNTiYr-'rr 1-1q-Q.1� 41{
Owner's Address
Owner's E-mail Address
1'I IT-1- M t_ Ot
City i � i N � State Lb
Zip Sur I Z Telephone 9411- ycf-zr1 F
APPLICANT'S NAME Last SPRS pL++��f�✓C�
F st
DSsI 4�
Applicant's Address
Applicant's E-mail Address
3/m l?ry15'TVL STD S rFi 26r—
aYIU� er�acei—Uc• Ls+.r
City Gps} /1./. ',} State
T/
Zip �2G2V Telephone gtl9-��-�Lo
ARCHITECT/DESIGNER'S NAME rW c l 4
Last Ply-�6R-� First Lic No.
Architect/Designer's Address
Architect/Designer's E-mail Address
3r�u 6RISTTrs, s'�S�
S-y ac,cJ—ac • cu..••,
City L6rT-7t- µ,/ J4 State
Zip 9 wl,,- Telephone F179� Ymay_ cf6y9
ENGINEER'S NAME Last 6R 1
First FT
soft s Lic. No.F—
Engineers Address
Engineer's E-mail Address
'Vin e r-arELc.A- ate, sr� 8�s—
sev;�.b�lteexi — ca-
City /F.Nx-� H State
Zip qTelephone 7�y, ycLi yVy(o
CONTRACTOR'S NAME/COMPANY
Lic. No. L 067 qI Class
Contractor's Address
Contractor's E-mail Address
City I State F_
Zip F_ Telephones
SETBACKS REAR SETBACKS FRONT
PERMIT NO. kC Z-cJ✓cam (�� C� l
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $