Loading...
HomeMy WebLinkAboutPV2023-0255 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application r- Comm'I F- Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL (-'Building r Grading rDrainage F- Elec F Mech r Plum CuYdCut F CuYdFill F Project Address (Not mailing address) r Flood F- Fire F- Liq F- Landslide F_N/A Floor Suite No W �$0` S� F_ F_ Description of Work Use F—ConstType r voVJJ f s l-nveri-ec od c)Jlriovki # Stories #Units (if Res) Valuation $ New/Add SFF Remodel SFF— Garage/New/Add F— Material/Labor OWNER'S NAME Last First Owner's Address Owner's E-mail Address City State F_ Zip F Telephoned APPLICANT'S NAME Last / ✓eQ.E/O D/� / �frcst Applicant's Address Applicant's E-mail Address City I State I Zip [ Telephone[— ARCHITECT/DESIGNER'S NAME Last First F F _ Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City State F Zip F—TelephoneF ENGINEER'S NAME Last First F Lic. No.F_ Engineer's Address Engineer's E-mail Address City State F_ Zip F TelephoneF_ CONTRACTOR'S NAME/COMPANY At1ye I I I uG 1`lk✓`�D j Lic. No.Floz y6 y y Class �r �N q b Contractor's Address Contractor's E-mail Address 43445 Zu5in(55 ?t(V'p)CVe- pefr���Soray9y reet�r�� teVe�-C�w. City I If M f_LL jtk State Ga Zip gITelephone 7 i y- 315- 57Hj SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. % Z USE ZONE DEVELOPMENT N PLAN CHECK FEES $ v u