HomeMy WebLinkAboutPV2022-121 - Permit Application�Ft!g W rk eet for Combo Building & Solar Permit Application
� Comm I rX Residentia X City of Newport Beach - Building Division T12o22-0I j
NOTE: PLAN CHECK FEES DUE AT TIME OF SUB TTAL
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ect Address (Not mailing address) r_. Flood Fire I! Liq r Landslide FN/A Floor Suite No
Tustin Avenue, Newport Beach, CA 92660 F �—
Description of Work
New/Add SF 459
APPLICANT'S NAME Last lChristiano
Applicant's Address
2084 Tustin Avenue
City New ort Beach State CA
UseJ� qL onstType I
# Stort #Units (if Res)
S
First
Applicant's E-mail Address
Jamie@macs.com
Zip 92660 Telephone 949-677 6128
ARCHITECT/DESIGNER'S NAME Last First Lic. No,
.. _.. _
Architect/Designer's Address
City I State F
ENGINEER'S NAME Last
Address
Architect/Designer's E-mail Address
Zip j TelephoneC�_
City State Zip
First
Lic.
Address
Telephone.
CONTRACTOR'S NAME/COMPANY Owner- Builder Lic No. Class
Contractor's Address
City �— State F
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
Contractor's E-mail Address
Zip Telephone
PERMIT NO. I V v % !� "
PLAN CHECK NO. I -
c
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $