HomeMy WebLinkAboutX2022-0819 - Permit Application (2)y022 ®� WIrksheet for Combo Building & Solar Permit�Appllcation V o�EWPoRe
City of Newport Beach - Building Division
F- Comm'I rX Residential
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
wilding (- Grading F—Drainage F_ Elec F_ Mech Plum cuYdCut F CuvdFill F
Project Address (Not mailing address) F Flood r Fire F_ Liq I— Landslide r N/A Floor Suite No
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Description of Work y� Use/ ConstType VB
S # Stories #Units (if Res)
Valuation $ New/Add SF�----. Remodel SF Garage/New/Add �—.-- Material/Labor P�) 000
OWNER'S NAME Last
Owner's Address
f first
r)... n.r'e F-mail Address
rZVW-Aj-\/ i P����w J`V
City rt t i n State Zip Telephone
APPLICANT'S NAME Last I Kl JET/W 1 First f e
City
I. ;�►' ;if 10
•/ A
ARCHITECT/DESIGNER'S NAME
Architect/Designer's Address
' Applicant's E-mail Address
State CA— Zip (— Telephone G�qq ,) ���t�
Last F— First F----- Lic. No. I—'
Architect/Designer's E-mail Address
City --
State �_ Zip F_ Telephoned—_
`�GINEER'S NAME Last First VFCj e \ Lic. No.
`1er's Address Engineer's E-mail Address
MateFTV Zip � Telephone l Li' � J "
NAME/COMPANY /-� �f � f�G Lic. No. '� %7Class�
���JJJ ti 1 Contracttoor'fs E-mail Address
State Zip MTelephone
SETBACKS FRONT �ERMIT NO.�
SETBACKS RIGHT
PLAN CHECK NO.
DEVELOPMENT NO PLAN CHECK FEES $