HomeMy WebLinkAboutXR2022-3070 - Permit ApplicationL - Print Form —1 Worksheet for Combo Building & Solar Permit ApplicatiOn
r- Comm F_ Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF.q[]RMITTAI
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F_-Building F_ Grading [—Drainage F_ Elec Mech F- Plum Cu Yd Cut F_ Cu Yd Fill F_
Project Address (Not mailing address) F_ Flood F_ Fire F- Liq F.- Landslide F_N/A Floor Suite No
Cowl 9 2 -Z F_
Description of Work
Use ConstType
F
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F(L FZ�
Frzu FAB
0 St e1F
on # Units (if Res)
M1,14 - CHO BLOCU— C
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- _q,51r, Wv x 1�m_ Cz I
ll Wcti c e- (e
New/Add SF ��, �Remode , 15F Garage/New/Add
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Valuation $ !;��Ce - 00, CC)O
Material/Labor
OWNER'S NAME Last FlrstF---
Owners Address Owner's E-mail Address
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City State F E4 Zip F_ Telephone
APPLICANT'S NAME Last[ _F-tA7( _Al�? (C First
Applicant's Address Applicant's E-mail Address
-ar-(Rhi Weic4rL 1 r- @ 9 tn
City ;,4N State Zip Telephone
Ic 74 70 t k7%
ARCHITECT/DESIGNER'S NAME Last First F_ Lic. No. F-
Architect/Designer's Address Architect/Designers E-mail Address
City State ZIP F 777 Telephone[
ENGINEER'S NAME Last F — — — — — — -- 7—First F__ Lic. No.
Engineer's Address Engineer's E-mail Address
-- - ---- -- -
City State zip Telephone
CONTRACTOR'S NAME/COMPANY Lic. No. F2 _oi k _q Class F7F
Contractor's Address Contractor's E-mail Address
, b!CYCIL Ole!'A S k 16 MCF _S, C-0 P-'
City I Cos State ZIP rq Z7 Telephone _71S_ 19-VY-S
y_,urtL - 3 o 71
SETBACKS REAR SETBACKS FRONT PERMIT NO. ZenZ - �070
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SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. FC4g&,_-Z qz-
USE ZONE DEVELOPMENT NO MI-QZZ -OtbD PLAN CHECK FEES $