HomeMy WebLinkAboutXC2024-0088 - Permit ApplicationPrint Foam Worksheet for Combo Building & Solar Permit Application na_�=
Comm I j: Residential City of Newport Beach - Building Division NOTF' PI AN rWPrV =FF ni i� nT rinnr_ (.
Building ❑Grading CDrainage [VElec ,gAech lum CUYdCut�i CUYdrill
' \ --- - 1 ill- - ---�
Project Address (Not mailing address) ❑ Flood ❑ Fire F7, Liq [-1 Landslide [N/A Floor Suite No
Description of Work /
Use �rl It�onst Type
-I1
I It Stories tr Units (if Res);
I '
Valuation $
New/Add SF�—;l Remodel SF Garage/New/Add Material/Labor ZZ i
hr j�
OWNER'S NAME Last ,r
_ 11 �vt�i_��9Y ffP First ----------------- I
Owner's Address
,�- Owner's E-mail Address
-- E — ` /I -' ba l - -- ---�
Cit V /V �i`_- t-- �I'---------
Y �� State G Zip L Telephone 7.(� 2,- • ��
APPLICANT'S NAME Las[
---y�%'�-----------------.-.I First _ fIr�F'i`---------
Applicant's Address Applicant's E-mail Address
City 0 ' �);" j State
----- �-------' -�� _ I Zip Z ii (l Telephone -_ Z• ^
ARCHITECT/DESIGNER'S NAME �/
Last J✓(�� F-C)�j>_ First ?>5, �., Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
i
City %�t;Yt/rj _ �31P i State -(-\ Zip •L(�;? D Telephone 4 1,
ENGINEER'S NAME 88 Last First Lic. No.�
Engineer's Address Engineer's E-mail Address
i
i
City State
i Zip - - ------------ --
�— !,Telephone
CONTRACTOR'S NAME/COMPANY •�U �� )jf`Ai �p
F I'
Lic. No. i Class
Contractor's Address Contractor's E-mail Address
City State F zip Telephone
ZoZq�q
SETBACKS REAR SETBACKS FRONT PERMIT NO. Xy-p(78S
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. PC J 3q
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $