HomeMy WebLinkAboutPV2023-0045 - Permit Application (3)Print Form_j Worksheet for Combo Building & Solar Permit Application
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forResidential City of Newport Beach- Building Division �\1 _ Ott
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL V c
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Building Grading F-Drainage [Elec I-Mech F-Plum Cu Yd Cut Cu Yd Fill
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Project Address (Not mailing address) C Flood Fire Liq Landslide N/A Floor Suite No
Description of Work
Use F—Const Type
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#Stories #Units (if Res)
Valuation $
Material/Labor
New/ dd 5 /�j�. 1(� Remodel SF�— Garage/New/Add �—
OWNER'S NAME Last �%r 4 T z First
Owner's Address Owner's E-mail Address
I..�07 ✓d4A&09A?,A1, eVW1,
City State ` Zip 7 Telephone
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APPLICANT'S NAME Last First / J
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Applicant's Address Applicant's E-mail Address
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City State �— Zip — Telephoner
ARCHITECT/DESIGNER'S NAME Last First
_ Lic. No. �—
ArchitectlDesigner's Address Architect/Designer's E-mail Address
City State �— Zip F_ Telephoner
ENGINEER'S NAME Last First Lic. No.F-
Engineer's Address Engineer's E-mail Address
City State F Zip TelephoneF
CONTRACTOR'S NAME/COMPANY Lic. No. ClassF 1
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Contractor's Address Contractor's E-mail Address
ferl Wcc%�¢+j�JyS'OrCr✓v�_Ac m ��i�-�. ew-m --
City (I�Q1j� �qr4#-ems State �� , Zip `7 -3 Telephone �i� tf Q ls2 /
SETBACKS REAR SETBACKS FRONT PERMIT NO. ? UT$ (141t
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $
�0vPo'S' CITY OF NEWPORT BEACH
>,; �a COMMUNITY DEVELOPMENT DEPARTMENT
`yam z BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
llfpov"' www.newportbeachca.gov 1 (949) 644-3200
ACKNOWLEDGMENT OF NO CONSTRUCTION -RELATED NOISE
ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS
On June 11, 2019, the City Council adopted an ordinance restricting
construction -related noise on Saturday in High Density Areas effective
August 12, 2019.
I acknowledge that any construction -related noise, (including, but not limited
to operating power equipment or machinery in a manner that produces noise)
is not allowed on Saturday or Sunday in High Density Areas in accordance
with Newport Beach Municipal Code 10.28.040. As the owner of the
property, I am responsible to ensure all persons working on the property
comply with this provision of the Newport Beach Municipal Code.
Project Address: l07 k r
Permit Number. PC O -� 3- 0 3 to
Owner's Name: �yyasf �J
Owner's Signature:
Contractor's Signature:
Date: 3 J 3
Forms Acknowledgmen t No_Saturday Constru ctian_HighOensityAreas