HomeMy WebLinkAboutX2022-0852 - Permit ApplicationROOM EE. ME W ks ; e t for Combo Building &Solar Permit A licahtion ��`"°°Rm
1! Comm,l residential ( City of Newport Beach -Building Division V X52 5 4
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL ° „«"
I- nuilding (', GradingDrainage {"Elec F_ Mech
r Plum cu yd cut— CuvdFill
Project Address (Not mailing address) F Flood r Fire F7 Liq F_ Landslide 1 -,N/A Floor Suite No
3 Zs /t/( of ,mss Pe-. /V. 2. (2A 2t? 6, o F— �..,-_ _...,_.._.
Description of Work
Use Const Type'
2 FV
t
# Stories # Units (if Resf _
New/Add SF� Remodel SF�� Garage/New/Add �
Valuation
bor114y,OUAD
Material/Labor
OWNER'S NAME Last
First
Cl.n
Owner's Address
Owner's E-mail Address
13 25 _lFn rrnQrs Df
City N... State I v'.'... W
Zip 0/2.(p&0 Telephone Gl'{5-3���
APPLICANT'S NAME Last p�
_ Firsts
Applicant's Address
Applicant's E-mail Address
City C.,S State
Zip g 2 Telephone icf Z� 3 6 Z
ARCHITE /DESIGNER'S NAME)Last 11
First �, Lic. No.
Architect/ signer's Address
Architect/Designer's E-mail Address
City State
Zip �— Telephoned
-------
ENGINEER'S NAME Last
First F_ Lic. N .
Engineer's Address
I
Engineer's E-mail Address
City. State
Zip Telephone
CONTRACTOR'S NAME/COMPANY Er
/ Lic No. 620 7 Class v
/Contractor's
Contractor's Address
E-mail Address
City % Y'4 State
Zip 7��26 Telephone oo-yFf6j 3533
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBARS _EFT SETBACKS RIGHT
PLAN CHECK NO. r
USE Z 1 DEVELOPMENT NO
PLAN CHECK FEES $ Aga,