HomeMy WebLinkAboutX2019-0406 - Permit ApplicationPrint FormWorksheet for Combo Building & Solar Permit Application 1 w"
Comm'I r Residential City of Newport Beach - Building Division 701 A. o.�nG
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 5<„epNs
Building r- Grading rDrainage j-Elec rMech F- Plum Cuvdcur[— CuvdRIIF—
Project Address (Not mailing address) r Flood r Fire r Liq r Landslide rN/A Floor Suite No
110 NewDor� C.eocr _Dave
F F---_
Description of Work
Use F—ConstType F-
# StoriesF— # Units (if Res)[—
r1 /
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I
G er ar ✓l e 1
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t� �1°� � !/ �-6✓(!-s�d%�
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Valuation $ D TO
Material/Labor r 0
SF (p 3 Remodel SF F—
Garage/New/Add r—
OWNER'S NAME Lastp
_vwPGr�^y_ First
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Owner's Address
Owner's E-mail Address
IIITo"Ou,floi,, DfIve
K� 5ovr�irvi �Gr7vhnrl� �,G(Ith_
City I Trvitna State E
Zip Telephone
g2_6/7 Li��77i0-20CC)
APPLICANTS NAME Last rA 51
First I Tk 0 M A S
Applicant's Address
Applicant's E-mail Address
23) 2 AlcddC Dr, Svlit L
tOv"@1�cSIVtIViG•L0�
City LcpO ,, ft lt5 State CA
ZiP I��/ > Telephone y4q 3gz-b3((,
ARCHITECT/DESIGNER'S NAME Last F Vc, „n First ��,e, 5 Lic. No.
ArchitecUDesigner's A//ddress
Architect/Designers E-mail Address
S4 MC k, e, cc JOIle-
City State F—.
Zip F— Telephone[
ENGINEER'S NAME Last
-
First F— Lic. No.[
Engineers Address
Engineers E-mail Address
City State F—
Zip F— Telephoners
CONTRACTOR'S NAME/COMPANYc
VGsl�t 5iyh Solut�'o�s
��,r.._Li No. g�26-71 Class (_ L/S
_
Contractors Address
Contractors E-mail Address
23122 #)crlde Cly; SLJe
-�awrPVQSrn rh L, gook
City LGCju 0, it IIs State FC4
ZiP x%261 3 Telephone t/9 --?82. C(,
SETBACKS REAR SETBACKS FRONT
PERMIT NO. -'L-0 I - 0 y 0 (rc-?
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PIAN CHECK FEES $