HomeMy WebLinkAboutPV2022-0328 - Permit ApplicationPrint. Form Worksheet for Combo Building &s Solar Permit Application �aEWPpaT
F Comm'I F Residential City of Newport Beach -Building Division r v vV �O'J�b oz
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL C� IFO0.NP
F—Building F Grading F—Drainage r✓Elec jJ Mech Plum Cu Yd cut Cu Yd Fill F
Project Address (Not mailing address) C Flood j" Fire F_ Liq f— Landslide r-N/A Floor Suite No
lv� F77
Description of Work Use Const Type
774 Aot N
77
# Stories # Units (if Res)
r Valuation $
New/Add SF Remodel SF Garage/New/Add F_
Material/Labor
OWNER'S NAME Last
, first
Owner's Address Owner's E-mail Address
City State Zip Telephone
CONTRACTOR'S NAME/COMPANY Y Lic.No. CIA" Class
Contractor's Address r Contr ors -mail Address Cs
City
State Zip Telephone
SETBACKS REAR SETBACKS FRONT _ 4PER0SETBACKS LEFT SETBACKS RIGHT /tiCKNUSE ZONE DEVELOPMENT NO CK FEES $