HomeMy WebLinkAboutPV2023-0046 - Permit Applicationi "r'nt F^Rn. f Worksheet for CoMbo,Building & Solar P't'e'rnit Application o "
F Comm I Residential City of Newport Beach - Building Division a
NOTE: PLAN CHFCK FFP3 nl IF AT T1h= nc ci 10ftA -rA i
F—Building F_Grading rDrainage F_Elec j—Mech F—plum Cu Yd Cuts Cu Yd Fills
Project Address (Not mailing address) F_ Flood r Fire F_ Liq l— Landslide l—N/A Floor Suite No
Description of Work
p / Use ConstTypes
# StoriesF # Units (if Res)
New/Add SF F _ Remodel
Remodel SF �— Valuation $
11 G
Garage/New/Add �— Material/Labor 1 / j C;ia , {i:�
OWNER'SNAME Last
First
Owner's Address
Owner's E-mail Address
City State �— Zip �— Telephoner
APPLICANT'S NAME Last I First
Applicant's Address Applicant's E-mail Address
City State �— Zip Telephoner
ARCHITECT/DESIGNER'S NAME Last
otG � 1 VL � First Lic. No. �—
Architect/Designer's Address Architect/Designer's E-mail Address
City State Zip F— TelephoneF
ENGINEER'S NAME Last First s---- Lic No.F—
Engineer's Address Engineer's E-mail Address
City State r Zip F— Telephoner
CONTRACTOR'S NAME/COMPANY f\ _ (D 1 - �' 0 Lic. No. Class
Contractor's Address Contractor's E-mail Address
4'tto ,tN.11. F
c�LO W � � �: �PJ /� l �".L."F'J' � ^" ✓. Y 'L/ � L..C> W'O
City Qllfifr State �— Zip ! 2e�4c Telephone,lt/
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT HyAl
PLANCHECKNO. JGW2;,O? iJq
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $