Loading...
HomeMy WebLinkAboutX2021-1348 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application r Comm'I Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL j'Building F_ Grading kDrainage (-Flee rMechn cuvdcut� cuvdFin� Project Address (Not mailing address) F_ Flood `s Fire F Liq r Landslide r_N/A Floor Suite No 1.J 44�"Uev dVt-:� CcFbOA Del- F_ Vis_ Description of Woorrk� Use F—ConstType •�a �) /J v/.r�.'j' }��rI WAW ft 69&*1R�q" jI V� # Stories[— # Units (if Res)F— �]] �c��j j�p�' r � �/ �J f -` WAgy Valuation $ Material/Labor Za'QQO New/Add SFr-iW Remodel SF �-� Garage/New/Add Q % OWNER'S NAME Last _� I t _ lv�V v\ First Owner's Address Owner's E-mail Address l City G State I Zip I Telephone ll '1!%* APPLICANT'S NAME Last First Applicant's Address Applicant's E-mail Address City � State F_ Zip Telephone r_ ARCHITECT/DESIGNER'S NAME Last First i ro I f Lic. No. Architect/Designer's Address Architect/Designees E-mail Address IWO\' Coro City j _ _... 154�tate Ia Zip Telephone 2• ��) Y. ENGINEER'S NAME Last First I ---- -- Lic. No. Engineer's Address Engineer's E-mail Address City ', State I_'. Zip IAV Telephone CONTRACTOR'S NAME/COMPANY Lic. No. F---- Class Contractor's Address Contractor's E-mail Address City _ State I--------. Zip r-..--------_ Telephone)— SETBACKS REAR SETBACKS FRONT PERMIT NO. �V v SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. S�LdLJ USE ZONE DEVELOPMENT NO PLAN CHECK FEES $