HomeMy WebLinkAboutXR2023-0153 - Permit ApplicationPrint WWorlksheet for Combo Building & Solar Permit Applioatimra
( Comm'I residential
City of Newport Beach - Building Division q
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL �apa3_ 0153
F'Building j-Grading F-Drainage j—Elec F_Mech
(- Plum CuvdCut F_ CuvdFill F_
Project Address (Not mailing address) � Flood
F_ Fire F_ Liq F_ Landslide F_N/A Floor Suite No
Description of Work
Use F ConstType V�
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# Stories # Units (if Res)
New/Add SFF— — Remodel SF�--- Garage/New/Add
Valuation $-- Material/Labor z0G/ 0UU
OWNER'S NAME Last /�
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First
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Owner's Address
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Owner's E-mail Address
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V City State Zip - hone�5 74-- 3/-/--37
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APPLICANT'S NAME Last 1`
,� C;� �C''S First
Applicants
Applicant's E-mail Address
/Address
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City i - ( _, State C Zip
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C��� Telephone ) c, C
ARCHITECT/DESIGNER'S NAME Last
First �— Lic. No. �—
Architect/Designer's Address
Architect/Designer's E-mail Address
—
City State �— Zip Telephone)
ENGINEER'S NAME Last F
First Lic NoF_
Engineer's Address
Engineer's E-mail Address
City State Zip
�— Telephoner —
CONTRACTOR'S NAME/COMPANY n
T/ t / Lic No. a /Ou'CS Class
Contractor's Address
Contractor's E-mail Address
City
U State Zip
<� y� Telephone q (�,_
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SETBACKS REAR SETBACKS FRONT
PERMIT NO. ZQZd3 S 3
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. MUZ-3 -OI S6
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $