HomeMy WebLinkAboutPV2022-0361 - Permit Applicationir�tFarr Worksheet for Combo Building & Solar Permit QApplication
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r Comm'I r Residential City of Newport Beach -Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBM TTAL
r',Building Grading r;Drainage rjElec F_Mech rPlum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) � Flood r Fire r Liq I- Landslide rN/A Floor Suite No
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Description of Work
Use FConst Type
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# Stories,. # Units (if Res)'.
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Valuation $ v
Material/Labor F/V66
New/Add SIFF 3.2 h Uli Remodel SF Garage/New/Add
OWNER'S NAME Last L o "A,) First � o � aoo
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Owner's Address Owner's E-mail Address
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City NEW?6gT R,,,C - i State I C Zip g266 ( Telephone—
APPLICANT'S NAME Last Q4RQr} First VtA)
E-mail Address
Applicant's Address Applicants E-mail
�33 A)FW1+AU_ ST I�INt%�rZIC�WTLIF25aCAR.Go+�n
City 6,5TA Or SA- State I �" Zip 9L62�:Telephone O(68-y4q 3g33
ARCHITECT/DESIGNER'S NAME Last First F_
Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
City State Zip Telephoned—i
ENGINEER'S NAME Last Mbtt ALBS First v Lic. No. /63
Do v 69
Engineer's Address Engineer's E-mail Address
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City I �Ajkjga s4Nr+* _ MA46,tZ{Tit- State I "; Zip 9Z688_ ' Telephone Tq � _283 gy q
CONTRACTOR'S NAME/COMPANY / Lic. No. Ib ZgZ6- Class �IL' Ib'
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Contractor's Address Contractor's E-mail Address
33 l�FWi4o_ Sr- ptGI+T-✓/IFESaL-h-p,"AA
City (oS7-A MPSl1 State Zip G]Z62,'_ Telephone �OQ,-Naa-3R33
SETBACKS REAR SETBACKS FRONT PERMIT NO.FU20U-2350
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. PC20ZZ- Z657
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $