HomeMy WebLinkAboutPV2023-0351 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application o��""'�Ra
Comm'I F_ Residential City of Newport Beach - Building Division o
NOTE: LAN CHECK FEES DUE AT TIME OF SUBMITTAL oa•"
F_ Building r Grading F-Drainage Elec r Mech
r Plum cuvdCut F_ CuvdFill F_
Project Address (Not mailing address) F_ Flood
(- Fire r Liq r Landslide I -N/A Floor Suite No
Z H Al f MOON A,1 DR
�— F
Description of Work
Use F_ Const Type I
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SOLAP, -PlCI
/ y� C
�1/�v� r
7 �+N�l�
l
#Stories # Units (if Res)F_
r�, lSS kW AC 1566 V
Valuation $
New/AddSFF_ RemodelSF7_ Garage/New/Add
Material/Labor yro//o
OWNER'S NAME Last I /VG V Yov
First RANDY
Owners Address
Owner's E-mail Address
25 4 AV MOON B A`f D
IQA VDALLNG V yGN VA J11109, (OM
City COIWN,( VfL MAPC State FCA
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Zip j26jr Telephone d)y-g S-SJ b
APPLICANT'S NAME Last I Am b
First BVE y .
Applicant's Address
Applicant's E-mail Address
331 MAI,VW A VC
City I �Vbwrtro State C�
Zip 90�w Telephone -P y-7a-0va
ARCHITECT/DESIGNER'S NAME Last First F �—
Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City State F_
Zip F_ Telephoned
ENGINEER'S NAME Last
--
First F Lic. NoF
Engineer's Address
Engineer's E-mail Address
City State F—
Zip F_ Telephoned
CONTRACTOR'S NAME/COMPANY Cv-9�&2.6C�
G
S(D L A e Lic No. //D-1&17 Class C- y6
Contractor's Address
Contractor's E-mail Address
JI2�-`6 (os ALA MIfiaS BLVD
FR`1n.Ne-CVfP& -SoLAE. Nf
city I l D5 p L A aI I fiaS State F4f A
Zip qL)7 0 Telephone
SETBACKS REAR SETBACKS FRONT
�) �I� P�00 No. A1aya3 - 23 15
SETBACKS LEFT SETBACKS RIGHT "ILAN CHECK NO.
USE ZONE DEVELOPMENT NO _�
/T
o PLAN CHECK FEES $