HomeMy WebLinkAboutXR2023-1416 - Permit ApplicationPrint FormWorksheet for Combo Building & Solar Permit Application o yTp0."e
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[- Comm'I [- Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[-Building [- Grading [—Drainage [- Elec [- Mech-42�I'lum Cu Yd Cuts Cu Yd Fill
Project Address (Not mailing address) [- Flood [- Fire [- Liq [- Landslide [-N/A Floor Suite No
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Description of Work
Use ConstType
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Of-
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%C�ntJ► P
# StoriesT. # Units (if Res)
&' Ah rvw &U40e j x z
Valuation $
Material/Labor iv . 4
/ S
/ l5; 90FP
New/Add SF m c, Remodel SF S� Garage/New/Add
OWNER'S NAME Last I jTXS -C,,OW rlrj.1 �C First ,
Owner's Address ('f Owner's E-mail Address
City k07v}V State I � Zip Q1e{b 3 Telephone pe - 9 to - i,s
APPLICANT'S NAME Last First eDIA
Applicant's Address Applicant's E-mail Address
y01 V. 0r.,5f,o r;lakAar7�Ona a JMdW/• ee.
City State 1 & Zip 91�(J3 Telephone31d)
ARCHITECT/DESIGNER'S NAME Last - First F_ Lic. No. I
Architect/Designer's Address Architect/Designer's E-mail Address
City State F_ Zip F_ Telephones
ENGINEER'S NAME Last First Lic. No.s
Engineer's Address Engineer's E-mail Address
City � State F_ Zip F_ Telephone
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CONTRACTOR'S NAME/COMPANY �, y4oile4t p�Wjt� WIVIiAj Lic. No. q-t �� Class
Contractor's Address C ractor's E-mail Address
4d-7 9 • At6ed..*c-J Ad. W IDS I
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City �lry„ State � Zip aZ / Telephone %/i(- 9D�. 8 3 �' 7
SETBACKS REAR SETBACKS FRONT PERMIT NO. Xe ZQ11;$e
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $