Loading...
HomeMy WebLinkAboutM2023-0008 - Permit Applicationrr , corm worKsneet for Combo Building & Solar Permit Application MEMO Comm'I Residential City of Newport Beach - Building Division NOTE- PI AN CHECK FFFC ni M A-r rmno nr �.,.,.sa.,- _ h F- Plum Cu d cut Cu Yd Fill Building F_ Grading (-Drainage F_ Elec7FFloodBO Project Address (Not mailing address Fire rR PEMIT y )[ [ Liq Landslide _ /A Floor Suite No QITYZF1qEVVP RT B (z� !M� -- - Description of Work Use F Const Type F n (� t P 1 �, , ^ 0 y #Stories #Units (if Res) ---�J --._. — t—X-sV—�JV New/Add SF Remodel SF�— Valuation a Garage/New/Add �— Material/Labor 2(01OQ o OWNER'S NAME Last First /- Owner's Address Owner's E-mail Address city ,Pj V 1i r State - r,�' --- _- Zip I' Telephone- - - .-_ ____ APPLICANT'S NAME Last �/) �'^�� First r r vrsl Y 1 - - Applicant's Address Applicant's E-mail Address Mclnssa(yg/v)ffSjjpdockS � City "�� i ► k 1 Ir Y V► - State Zip -6j Telephone I ARCHITECT/DESIGNER'S NAME Last First F— Lic. No. �— Architect/Designer's Address Architect/Designer's E-mail Address City State Zip r Telephoner — �— ENGINEER'S NAME Last �, { , , / First `477 l ►_' _V V -_- - vl Lic. No �GI i t I f 1�Y r Engineers Address Engineer's E-mail Address GlS City �Lag� Vj juf State FW l�C1dL�� �I�7 ZIP Telephone CONTRACTOR'S NAME/COMPANY Sw I �1 1 � Lic. No. I _W) Class - - - - Contractor's Address Contractor's E-mail Address ( �f "I, t0s w� _ - -VYVCW ss s> �C1 City e� TAB 1�� State �— ZIP Telephone - - SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT ` PLAN CHECK NO. (� USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ r