HomeMy WebLinkAboutPV2023-0291 - Permit Applicationr Comm'I FR Residential
Tor comoo t3miaing & Solar Permit Application ON
City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
j,oBuilding rGrading F Drainage
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Project Address (Not mailing address) r- Flood r Fire r Liq r Landslide rN/A Floor Suite No
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Description of Work
Use Const Type F
#Stories # Units (if Res)r
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New/Add SF , .;� L: Remodel SFF— Garage/New/Add F—
Valuation $
Material/Labor Fr
OWNER'S NAME Last
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First I r— A a 1
Owner's Address
Owner's E-mail Address
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City r q I) t i 114 ¢
State
Zip cZC2.r Telep hone
APPLICANT'S NAME Last
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First 6', ,_/; .;
Applicant's Address
Applicant's E-mail Address
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City , F. e
State �' J}
Zip `1 2 4' 5 Telephone
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ARCHITECT/DESIGNER'S NAME Last
First F_
I
Lic No.
Architect/Designees Address
Architect/Designer's E-mail Address
City I
State F_
Zip F— Telephone 7—
ENGINEER'S NAME LastINWOKO-Ze
First Lic. No .�Yj0
/
Engineer's Address
Engineer's E-mail Address
City �
State F—
Zip F— TelephoneF_
CONTRACTOR'S NAME/COMPANY
� 4, 4 . Lic No. Class (- (c:'
Contractor's Address
Contractor's E-mail Address
City
State G Ill
Zip Telephone FLI / 'L SLl2Z
SETBACKS REAR SETBACKS FRONT
PERMIT NO. WW • 071,
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.%f1�j 1 i0
USE ZONE DEVELOPMENT NO yW 21 ' i? ZU PLAN CHECK FEES $