Loading...
HomeMy WebLinkAboutXR2023-2373 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application (�Fyowr Comm] r Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL r-Building r" Grading rDrainage r Elec j— Mech r Plum Cu Yd Cutl Cu Yd Fill Project Address (Not mailing address) r Flood r" Fire r" Li Landslide I —N/A Floor Suite No Description of Work Use r Const Type �7 S: #Stories #Units (if Res) New/AddSFF— Remodel Valuation Garage/New/Add— (Valuation$ Material/Labor Tf�©mow OWNERS NAME Last First Owner's Address Owner's E-mail Address City State r Zip [� TelephoneF' APPLICANT'S NAME Last C"�l_f0 �S Applicant's Address �c7QPt �L�2� I (C7 City Pco� v� State I Zip ARCHITECT/DESIGNER'S NAME Last cT' Architect/Designer's Address / First I '�J /O Ztj Applicant's E-mail Address City State �-- q zip V ENGINEER'S NAME Last Telephone � I� / First I rl�yzq__LL Lic. No, �— C Designer's E-mail Address Telephone 1 First — �`,� l— Engineers E-mail Address Lic. No. Zip Telephone Cj s CONTRACTOR'S NAME/COMPANY I Lic No. j Class Contractor's Address �Tawavp Contractor's E-mail Address c t C F'c �?�i e) I� z/� .e_ I I'b (�'r6�P S y KS�����rv\ State Zip Telephone CC SETBACKS REAR Engineer's Address City State I L �1— SETBACKS FRONT SETBACKS LEFT SETBACKS RIGHT USE ZONE DEVELOPMENT NO PERMIT NO. PLAN CHECK NO. PLAN CHECK FEES $