HomeMy WebLinkAboutX2022-1467 - Permit Application (3)PrntlFnrmWorksheet for Combo Building & Solar Permit Application
r Comm'I rXResidential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[Xi.Building r Grading
(—(Drainage rElec rMech r Plum CuvdCut F CuvdFili
Project Address (Not mailing address) r Flood r Fire r Liq rLandslide FN/A Floor Suite No
715 Narcissus
F_
Description of Work
Use F Const Type F
New 6 ft. CMU wall, 93 ft. long
# Stories' #Units (if Res)
Valuation 5 10,000
Material/Labor
New/Add SFF—
Remodel SF7 Garage/New/Add F—
OWNER'S NAME
Last First COMPLlAN
CO(�E
F R
Owner's Address
Owner's E-mail Addre
City
---- hhonnee `
State F Zip ( l���i llv� G O11P
APPLICANT'S NAME
Last First
Applicant's Address
Applicant's E-mail Address
City
State F Zip F Telephoned—'
ARCHITECT/DESIGNER'S NAME Last_ First F—
Lic. No.
ArchitecUDesigner's Address
Architect/Designer's E-mail Address
City--
State F Zip I Telephone
ENGINEER'S NAME
Last First F_ Lic. No.F
Engineer's Address
Engineer's E-mail Address
City
State r Zip I Telephone
CONTRACTOR'S NAME/COMPANY Lic. NoT Classr
Contractor's Address
Contractor's E-mail Address
City
State F Zip Telephoned'
SETBACKS REAR
SETBACKS FRONT PERMIT NO. )(p,(7i,Z' I q(o'(
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $