HomeMy WebLinkAboutPV2023-0014 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application
[- Comm'I [- Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[-Building [- Grading [—Drainage [-Elec [-Mech
[- Plum CuYdCut CuYdFill
Project Address (Not mailing address) [- Flood [- Fire [- Liq [- Landslide [-N/A Floor Suite No
10,2} lJ 0� Ale, NC or'+ f3cud c12661
Description of Work
Use F—ConstType F_
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Z PV .S�Ulpr AudwICS l &I, M Gro (v, I/P,/' r5 A9S
# StoriesF3 #Units (if Res)
Maw 4[ri Fe ro 01
Valuation $
Material/Labor 9 (Q�S100
New/Add SF 73Nk-iA) RemodelSFF— Garage/New/AddF
OWNER'S NAME Last CC l a �/A
First
Owner's Address
Owners E-mail Address
l o Avr-
City rJ'pD r.F B<9.C%� State li+
Zip Telephone
APPLICANT'S NAME Last &„ rbq
First I V � yi
Applicants Address
Applicant's E-mail Address
q33 A)eLAcli Si-
vim@br'y + 1,-Fe-S o INS. C om
City &Sig me -co State I 0
Zip 476,Lq Telephone q(Jq q0q-3ri33
ARCHITECT/DESIGNER'S NAME Last SrNe_ GS First �—
lyel ,C4 .f- Lic. No.
7
Architect/Designers Address
Architect/Designers E-mail Address
City State 7—
Zip 7— Telephone7—
ENGINEER'S NAME Last P6t-Ae s
First 7411 1 AS Lic. No.F6116,3
Engineer's Address
Engineers E-mail Address
S VA Bc I VVW_
City 2AkA$ Savlfa f'N.^/,A,rrA State Gft
Zip_ �Z[ Telephoneq� y_ zss-srbH
CONTRACTOR'S NAME/COMPANY I20�*f ( •/1 ('O�A./' Lic. No. 6_zri 6`4 Class�b
r
/�1 j-c
Contractor's Address
Contractors E-mail Address
Sa en C, 6 f 4,0,I , c,("1'-
City State F_
Zip F— Telephoned
SETBACKS REAR SETBACKS FRONT
PERMIT NO. TVP-14 , PO I }
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. ` (Lq,*21 -005$
USE ZONE DEVELOPMENT NO tO Lc'-0 PLAN CHECK FEES $