HomeMy WebLinkAboutX2022-0242 - Permit Application (2)Print Form I Worksheet for Combo Building $ Solar Permit Application ori
�I comm" Residential City of Newport Beach - Building Division x �%_u�2�(»� 2 €
NOTE: PLAN CHECK FEES DUE AT TIME OF SUB I L 02 G. o ,
❑Building Grading ;Drainage ❑Elec F_Mech Plum cu ydcutl Cu Yd F(II FI
Project Address (Not mailing address) 17Flood [7,Fire F Liq r- r_ Landslide N/A Floor Suite No
lz(o GoLocofzoD Art - —I
Description of Work
1I�
Use �-,� Const Type V'^�
LAPNE F}n41(-r W C fk) �ISFlgj SW6Ctu FAjM(W
--
# Stories 2n # Units (if Res) F�
DCTP0*eD �2 a -(f)
Valuation $
Material/Labor
New/Add SF� �;
J Remodel SF7 Garage/New/Add L ,
OWNER'S NAME LastFirst
0WAAD SA[TShl1
-- - --- --------- --- - - - -- -- -- - -
-
Owners Address Owner's E-mail Address
City �(_ r'(.��-_ State l Zip Q5 Telephone �•-�"%� 72((j'
APPLICANT'S NAME Last First (�
Applicant's Address Applicant's E-mail Address
23(83 LFA 010W+ U2_- V Wk Co 7(L3Ai�►�- CG Al
City State _.--C -- Zip q%COSJ Telephone ✓ �d
ARCHITECT/DESIGNER'S NAME Last Pa�(CEFirst, Lic. No. C2?cfG
l(
-- --
Architect/Designer's Address Architect(Designer's E-mail Address
CO CADWA- M tj'(OI V0 0 X0A,ZCt14. COM
City I U4,kXJA- ALL,) State Cg - .. Zip Qi(�S-3 Telephone L%,,-'�,?3 /Q0
ENGINEER'S NAME Last First[----- Lic. No.F__
Engineer's Address Engineer's E-mail Address
City _ State Zip Telephoned
CONTRACTOR'S NAME/COMPANY Lic. No. rj Class
Contractor's Address Contractor's E-mail Address
City—�I State[777 Zip Telephoner
SETBACKS REAR
SETBACKS LEFT
USE ZONE
SETBACKS FRONT PERMIT NO. �Ce�Z - o z Z
SETBACKS RIGHT PLAN CHECK NO. na- t -7cLfL
DEVELOPMENT NO PLAN CHECK FEES $