Loading...
HomeMy WebLinkAboutXR2023-0688 - Permit ApplicationPrint Form__ _ Worksheet for Combo Building & Solar Permit Application F_ Comm'I j- Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL c` r-Building F_Grading (-Drainage F_Elec FMech F-Plum Cu vd cut Cu Yd Fill Project Address (Not mailing address) Flood r Fire r Liq r Landslide 1-N/A Floor Suite No Description of Wgr Use Const Type # StoriesF_ # Units (if Res)F_ (// New/Add SF Z'� Remodel SF Garage/New/Add �— Valuation $ Material/Labor Of 00 O OWNER'S NAME Last /e- r,t t,- First Owner's Address Owner's E-mail Address Q- -y'IVC_- .. City State j(� - Zip lL Telephone APPLICANT'S NAME Last - First Applicant's Address Applicant's E-mail Address J Liglil�. U �rvz.__....-. C, Qc/7P r� 5 GO tom` City FL-4 )V,- _ k, r i u e State Zip 1_ / @ P Telephone - ...___?Xf 7.}' S 510 ARCHITECT/DESIGNER'S NAME Last �^ First -� -�^'`- ! -Y�. -- Z r )..- Lic. No. C 2S) Architect/Designer's Address Architect/Designers E-mail Address City �uG State Zip / K j Telephone / GGyy ccl 77 / ENGINEER'S NAME Last -7� First Lic. No.�---- Tvi G 1 S C _t � _ . cz_IM_ie 5 - Engineer's Address Engineer's E-mail Address ac�e��_ City � 0 C . e a c _ -_ State Zip ? �Q Z Telephone �/o 6 CONTRACTOR'S NAME/COMPANY r-C 6ir J/DS Lic. No. j7 ���' ��lass Contractor's Address Contractor's E-mail Address � 3 3 0eeaV1 iCW v Ne �r� ��%1f� ���o©- c0 , - City q - >- t�6U�blr eQC State — Zip 6 TeIephone�fy (Z(j SETBACKS REAR SETBACKS FRONT V26 R -y 6z L PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. d5 USE ZONE DEVELOPMENT NO PLAN CHECK FEES $