Loading...
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 $