HomeMy WebLinkAboutXR2023-2296 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application wpo°`
F Comm'I F Residential City of Newport Beach - Building Division
NOTE' PI AN (:HECK r_Frc nI I AT T.n II ,
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(Building F Grading
(Drainage F Elec f—Mech F Plum CuYdCut F_ cuYdFill F_
Project Address (Not mailing address) f Flood F-- Fire r Liq F— Landslide F_N/A Floor Suite Nc
12301 De— F_ F_
Description of Work
Use F_ Const Type
I
# Stories[— # Units (if Res)F—
Valuation $ 7ccco
Material/Labor
New/Add SFF—
Remodel SF�— I
Garage/New/Add
OWNER'S NAME
Last -y - Npg
l E `C _ First �,(t,-tyL1 GlL
Owner's Address
Owner's E-mail Address
230`j S�hC.T7,�o
r�;Z pyyt}Q�Urz
City N?ttiPC7Dr l3{/iLH
State r /9 Zip ��{�(� Tele
949-9f-
phone
APPLICANT'S NAME
Last ClG Ilovh First grevi
Applicant's Address
Applicant's E-mail Address
77�0 brRvIfQ�t ilds�o1-3,
City���Tlg�tiVh
State �—Zipy2�d�7 Telephone '7i�� �3�
ARCHITECT/DESIGNER'S NAME Last 6AN -Z_ First F Lic. No. �—
Architect/Designer's Address
Architect/Designer's E-mail Address
City I
State F Zip F Telephone[ —
ENGINEER'S NAME
�51/FMB' IAJ�
Last !3�- te-� First—
Boy Lic.No.�—
Engineer's Address
Engineer's E-mail Address
lbt'L 5•i of
Vvt;� (� kXib� ejl�vne, cc9rn
City h n
-�l � ✓�I1 A
State CA Zip r� i7p l Telephone 65 7.3 j S - CIIOSj
CONTRACTOR'SNAMElCOMPANY -rkL fooc (aFCn*�r �u� Lic. No. �0(jjb�� Class 07 3
Contractor's Address
Contractor's E-mail Address
7-7�u i. ocKwv
City /vl M [ 7 V1d
State �— Zip ot1:110q Telephone �i4 �lf?i Rg�c1
D
SETBACKS REAR
SETBACKS FRONT PERMIT NO,
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK O.
USE ZONE
DEVELOPMENT NO