HomeMy WebLinkAboutXR2025-0981 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division
r— Comm'I F_ Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
FvBuilding F_ Grading rDrainage F_ Elec r Mech r` Plum Cu Yd Cut Cu Yd Fill
ect Address (Not irl
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ascription of Work
New/Add SF FTT
Remodel SF
OWNER'S NAME Last 1 _F4_17
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SS) i— Flood r— Fire ru Lint (` Landslide r_N/A Floor Suite No
Fes,
Use F—ConstType F_
# StoriesF # Units (if Res)[_
F—IVa a/ $ 1 p f O
Garage/New/Add Materiaeriall/Labor \ 6
Owner's Address
City l.f✓`�- /c�•%LGt. State
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APPLICANT'S NAME Lash
Applicant's Address
37
City F Lam .:) State ,%L j.G-
First
Owner's E-mail Address
Zip-
r
First I
Applicant's E-mail Address
r y �
Telephone ;j z,
ARCHITECT/DESIGNER'S NAME J /�;2 +%!L�/r[%
Last `` First ` // Lic. No. L- " f
Architect/Designer's Address ArchitectlDesigner's E-mail Mdress
City State F Zip Telephone/cd-.-� �e-.l`'_
ENGINEER'S NAME st I First F Lic No.�
Engineer's Address / '✓/ Engineer's E-mail Address
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City F_ State F_ Zip F_ Telephoned
CONTRACTOR'S NAME/COMPANY �L! /�;i%(% -- '�'-=cfJTy27Z f..fw,Llc. No. %%y�/G' ess
Contractor's Address
Contractor's E-mail Address
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State
L 7 ! -- Zip 7 -- Telephone
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City
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SETBACKS REAP.
SETBACKS FRONT PERMIT NO.
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SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES S