HomeMy WebLinkAboutXR2023-0086 - Permit ApplicationoMrrn Worksheet for Combo Building & Solar Permit Application ?EW'°Rr
F✓�sidential City of Newport Beach - Building Division fop
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
.g FGrading r-Drainage F-Elec F.-Mech f-Plum Cu Yd Cut Cu Yd Nil
rroject Address (Not nailing address) C Flood f- Fire r Liq F_ Landslide [N/A Floor Suite No
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Description of Work
Use Const Type
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# Stories #Units (if Res)
In P
I�� wills �}� ���� . 60 Mink en,a�4t area,
Valuation $
Material/Labor
New/Add SF[ Remodel SF[__ Garage/New/Add I--
OWNER'S NAME Last l�orl {esMwrl First ��S ✓t
Owner's Address Owner's E-mail Address
Z3o4 c���.� Dr•.
City State Zip TelephoreF—
APPLICANT'S NAME Last I (f- First
- - - - �t
Applicant's Address Applicant's E-mail Address
City State Zip Telephonef
ARCHITECTMESIGNER'S NAME Last p +
13ca.n �v✓t �Jrc�i,-fe_,i First �— Lic. No. �—
Architect/Designer's Address Architect/Designer's E-mail Address
City State Zip �— Telephone
ENGINEER'S NAME Last First F_ Lic. No. F_
Engineers Address Engineer's E-mail Address
City State Zip �— Telephoner
CONTRACTOR'S NAME/COMPANY { h Lic. No. Fsg o ri3 Class[—
altr"tcrn C��Sc ,ort
Contractor's Address Contractor's E-mail Address
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S�0- 3o'N' 91 Ur1i+ A
City &fcad� State C Zip �Ti _3 Telephone
ETBACKS REAR
SETBACKS FRONT
PERMIT NO. �Q1L(j23 • C30j t{
_TBACKSLEFT
lE ZONE
SETBACKS RIGHT
DEVELOPMENT NO
PLAN CHECK NO. t 3Z $ 2a2.I
PLAN CHECK FEES $