HomeMy WebLinkAboutPV2023-0045 - Permit Application„._,.,L,Prir,tFqrrn I Norksheet ” r Combo Buflftg & So�iar P ' mi, Applicat'
To eirmit
F_ Comm'I F_ I Residential City of Newport Beach - Building Division
FVTA?v2 01)4 NOTE: PLAN CHECK FEES DUE AT TIME OF SUB IT
F_ Building F_ Grading f—Drainage F_ Elec F_ Mech F— plum Cu Yd Cut F_ Cu Yd Fill
Project Address (Hot mailing address) f— Flood F_ Fire F_ Liq Landslide FN/A
Floor Suite No
. ..... ....... d - .1 �� 11
Description of Work
AAJA 4 AV-,(1, PV Use FA t, Const Type F77
# Stories5 # Units (if Res)F7
Valuation $
New/Add SF... ........ .. ... Remodel S F Garage/New/Add Material/Labor
OWNER'S NAME Last First
.. .... . . ........ .... .... .. [
........... . . . ......
Owner's Address Owner's E-mail Address
- .............. . . ....... ... . ....... .. ... .. ... .. ..... . ............ ..... ...... I -
City . State F777 Zip Telephone F
-----------
14
CONTRACTOR'S NAME/COMPANY D2-" Lic. No
. Class
Contractor's Address
Contractor's E-mail Address
Joe_
City State FT _ZiIJj Telephone
SETBACKS REAR SETBACKS FRONT PERMIT NO. ?Vtv�J 00410,
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 0 1,
USE ZONE DEVELOPMENT NO AgiqV PLAN CHECK FEES