HomeMy WebLinkAboutXR2023-0782 - Permit Application (3)�PrintForm Worksheet for Combo Building & Solar Permit Application
F- Comm'I r- Residential City of Newport Beach - Building Division 6 s
NOTE: PLAN CHECK FEES DUE ATTIME OF SUBMITTAL
[- uilding [ Grading j-Drainage [Elec F-Mech F- lum Cu Yd Cut Cu Yd Fill F
Project Address (Not mailing address) C Flood r Fire F_ Liq F_ Landslide F_N/A Floor Suite No
'1808 9tvefL Ave- _NeU_Po,�T_ ijel_-6A cfZ663 F
Description of Work
Use ConstType
(� F'co2 ($Kri-I Sµowe27u3 Td�NtoDr9L
_
# Stories # Units (if Res)F_
Valuation $
Material/Labor
r
New/Add SF F_Remodel SFF Garage/New/Add Ir
OWNER'S NAME Last RPhLCtS%UM First G' C0'ZG E
-- -
Owner's Address Owner's E-mail Address
City FZ:ew-r (3eACt4 State [TA Zip c, 2603 Telephone 409 -
APPLICANT'S NAME Last �k¢gASAt First CaNDy
Applicant's Address Applicant's E-mail Address
SSfS C- c,A ?A AA, hvL- t1_7So CLAU-t3A:3ALe (Le,3(92n1CA&A (e75 •GU NI
City An1'°r_H_ ,1-1 _ _ _ -- State CJ� Zip `j ZBv 1 Telephone 7ly _ 6 51 I? Z-!
ARCHITECT/DESIGNER'S NAME Last First F —
Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
City State Zip F Telephone—
_.- -_ - _-
ENGINEER'S NAME Last First F_ Lic. No.
Engineer's Address Engineer's E-mail Address
City �— State �— Zip F Telephoned
CONTRACTOR'S NAME/COMPANY Lic. No. �— Class F_
Contractor's Address Contractor's E-mail Address
City �— State F Zip F Telephoned®
SETBACKS REAR SETBACKS FRONT PERMIT NO. WZ� 0182
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $