HomeMy WebLinkAboutX2022-0680 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application C"d
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I-Comm'I F_ Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
(XBuilding rGrading
(x Drainage rElec r-Mech
r-Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) I- Flood
r' Fire r- Liq r Landslide F_N/A Floor Suite No
Description of Work
Use I ConstType VB
Exterior remodel / repair/replacement; exterior finishes & materials,
exterior stair replacement,
heaters light
# StoriesF_ # Units (if Res)[ —
fixtures.cleek repair, window reps gas
&
Valuation $
Material/Labor
New/Add SF o.00 Remodel SF 0.00 Garage/New/Add 0.00
OWNER'S NAME Last Hodson
First James
Owner's Address
Owner's E-mail Address
8 Rockingham Drive
City Newport Beach
State CA
Zip 92660 Telephone 310-266-5384
APPLICANT'S NAME
Last
First
Applicant's Address
Applicant's E-mail Address
City F
State F_
Zip [— Telephone �—
ARCH ITECT/DESIGNER'S NAME Last
First F_
Lic. No.
ArchiteGUDesigner's Address
Architect/Designer's E-mail Address
City I
State [_
Zip F_ Telephoned
ENGINEER'S NAME
Last
First F_ Lic. No.F—
Engineer's Address
Engineer's E-mail Address
City
State F
Zip [— TelephoneF_
CONTRACTOR'S NAME/COMPANY
t� I �jrUN � Lic. No. 545;;n Class
N W
Contractor's Address
Contractor's E-mailAddress
333Li . LeMCug
% `%3
tt
qJ�� Oe.Wh S�oN(.on51CyCtlJcW •(fin
city I (:LoCbrgf,Qe1 / State Cam,
Zip F92(o D,5 Telephonegyq, 93337.95
SETBACKS REAR
SETBACKS FRONT
PERMIT NO. %
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. 011 ' 2
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $