HomeMy WebLinkAboutXR2022-2539 - Permit ApplicationL FTn corm vvorKsneet for (.Ombo Building & Solar Permit Application NEW^°q
City of Newport Beach - Building Division
Comm'I residential -
PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
F/Building r Grading F—Drainage I- Elec F_ Mech r- Plum Cu YdCutCuYd Fill
Project Addr/�ey7ss (Not mailing address) F-FloodFF_Flood Fire
Liq Landslide F_N/A Floor Suite No
`P��77 /
Description of Work
Use Const Type
# StoriesF_ # Units (if Res)-
3
New/Add SF Remodel SF�— Garage/New/Add �—
Valuation$ ` /,M�l
1/V(l
Material/Labor f 510
OWNER'S NAME L
Last l/'/ First
I
Owner's Address
Owner's E-mail Address
City 11/ wpvff _ ��- </. State Zip Iw Telephon tip/ / !/� .Z�L�z
APPLICANT'S NAME Last �� First
Applicant's Address Applicant's E-mail Address
� �75 t3�u FLc c/99�ra�, �Lr cam
_
City Vtl-rU ._ State Zip 9o?jS6�J Telephone 9�,9 3-5$'
ARCHITECT/DESIGNER'S NAME Last �— First F_Lic. No. �—
Architect/Designer's Address Architect/Designer's E-mail Address
City State �— Zip �— Telephoner_ —
ENGINEER'S NAME Last First Lic. No.F_
Engineer's Address Engineer's E-mail Address
City F State I Zip �— Telephone7—
CONTRACTOR'S NAME/COMPANY /c /iGn Lic. No. ��C�� Class
L F /'
Contractor's Address Contractor's E-mail Address
29C3/anc, /n.
/
City tlorw if State— Zip Telephone /9//y� i) SS-?1)5?
SETBACKS REAR SETBACKS FRONT PERMIT NO. x1 lizo L--2,539
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $