HomeMy WebLinkAboutE2023-0573 - Permit Application] WorksheetrfooECombo Buildinng & SolarPermit
Print Form � Rr
: PLAN CHECK
ES
UE AT TIME
K Comm'I r Residential City of Newport Beach - Building Division =
F-Building F_ Grading rDrainage rVElec F Mech
(- Plum CuYdCut F CuYdFill F
Project Address (Not mailing address) F_ Flood
r Fire r Liq r Landslide rN/A Floor Suite No
�_000 3l OnL , s D %4 c. 91 a tJeAu por+ gt,,CrR CP� Q'2 66 d �1 `4 i v
Description of Work
Use F—Const Type
tMp (1/t *rl UqA45, I X 4 x-J Q 1a c -a� t&4
#Stories #Units (if Res)
?)Xd u 2x 2 LE
Ul
Valuation$
b
Material/Labor Flitoo
New/Add SFF— Remodel SF36�d Garage/New/Add 7—
aterial/Labor(i/Do
OWNER'S NAME Last
First
Owner's Address
Owner's E-mail Address
City I State
Zip F— Telephoned
APPLICANT'S NAME Last
First
Applicant's Address
Applicant's E-mail Address
City I State I—
Zip F__ Telephoned
ARCHITECT/DESIGNER'S NAME Last
First Lic. No.
ArchitecUDesigner's Address
Architect/Designer's E-mail Address
City I State F
Zip F__ Telephoned
ENGINEER'S NAME Last I .5Q1(Ai AM
First L, Lic No. ,E�-) �) q
Engineer's Address
Engineer's E-mail Address
11120 Mrs A 5�rxe f 5Ljk q8b
City Jrvr-r� State
Zip Gi2-6 Telephone qyy V4 6g10
CONTRACTOR'S NAME/COMPANY 5r C y 5C, rGTr T_)v,C, Lic No. 6G/ j'�(o Class
Contractor's Address
Contractors E-mail Address
_:�) �� - A - A ilz' ddp�
City COSTG Al eCjc, State (—
ZipFq�G�(j Telephone 7iy-3,2g rYl6
F—z023- OS73
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. PC2AZ,3 - j SS 7
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $