HomeMy WebLinkAboutX2022-0395 - Permit Application (2)1
Print Formyj `J Worksheet for Combo Building & Solar Permit AlOnlication , `�Po"e
F] Comm'I L7 Residential City of Newport Beach - Building Division X y y a
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL c�..o=��'
[7Building ❑ Grading ❑Drainage ❑ Elec n Mech (- Plum cu yd cutl Cu yd F ll n
Project Address (Not mailing address) ❑ Flood Fire ❑ Liq ❑ Lalndslide ❑N/A Floor Suite No
S18 VIA- L_/,0,o NoR6 F-7 ��
Description of Work
Use_ ConstType
�rti d S.F rJ ---
3 QV%ri Z 0 �eo std #Stories #Units (if Res)
- --9 � Valuation
New/Add SF Remodel SF i Gara a/New/New/Add Material/Labor
OWNER'S NAME Last I :4:0,r_ z_
Owner's Address
36gq— Mlr-LWoe,�,�_►zO.,Nu�� 32S
City 6�1_5_0H�e — State L°" "4:!i
CZ -Pop T7orj
Owner's E-mail Address
APPLICANT'S NAME Last---
t S L First (Gl E
--- --- -I —M— - L— —-
Applicant's Address
City ( State G'¢
15
Applicant's E-mail Address
I
Ml�s¢ Ei�c.�73uit���s1�►�c ccwt
--------------------
Zip 9 yb Sl Telephone 9 qq-, 6
ARCHITECT/DESIGNER'S NAME �n
Last v UA-Flie�C� First - ��(p.�.]---1 Lic.No.
Architect/Designer's Address
/
City 60J770- /�__ J State L "�
ArchitecUDesigner's E-mail Address
(Ly4 & $adohlAR L�I�rf card J
- - - - -------- ----
Zip cj2( ,Z(� J Telephone 7lcf 7stf,�
ENGINEER'S NAME Last P, F'q-- First PAUL J Lic. No. J3S1 (0 11
- -- ---- - - -- — - - - -
Engineer's Address Engineer's E-mail Address
9.517 L)Y L-ey -G,6n4lZ , C0fr t
City . Ur' r) r/4 �e,� gcTa Gfi State F Zip � 26 � (� Telephone ;j;Z. jj, y �Iv
CONTRACTOR'S NAME/COMPANY6,0up gu It,060- -: t-ic, Lic. No. gS22J 6I Classn
Contractor's Address
City vp4t_. State
SETBACKS REAR SETBACKS FRONT
Contractor's E-mail Address
M 11 - (�_p Q*LL0601 L.o Lows cw/2-7
--
Zip Gr s 1 Telephone q—tf a� 77
o(lb-
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO Q 0-7 PLAN CHECK FEES $