HomeMy WebLinkAboutX2020-2256 - Permit ApplicationWorksheet for Combo Building & Solar Permit ApplicationCity of Newport
each - Building Division
NOTE: PLAN CHECK EES UE AT TIME OF SUBMITTAL ,{UV v
Drainage F, Elec r Mech r'I Plum Cu yd cut j Cu Yd Fill
r_j Flood r: Fire
[ Liq r, Landslide
( N/A Floor
Suite No
AiX 3 Lt t
ITK 60i
-- z-11z_1r-n
id SF Remodel SF�—j
OWNER'S NAME Last
#Storie�Llse ConstType
i I Yl s!
W I r; y #Units (if Res)
Valuation $ I O I
Material/Labor G
First I... ---LAO LAif/ y -
Owner's Address
Owner's E-mail Address
--- _ _ �
City State - zip l j_Telephone
APPLICANT'S NAME Last
Applicant's Address
City 57M(N i� --,i State 6fA
ARCHITECT/DESIGNER'S NAME
Architect/Designer's Address
City
ENGINEER'S NAME
First 11 Vf_IV C07
Applicant's E-mail Address
ViNr�Nts-UY�i�12� /G���MI�IL 2 _ 2�
Zip R26� Telephone (714) M6 q 8
Last First F 77 Lic. No.
Architect/Designer's E-mail Address
State �— Zip r Telephoner
lL.l
Last ���� First Lic. No.�
Engineer's Address Engineer's E-mail Address n � / Co
City State—i yl - Illl V (? M
1 Caja ��3a
- ZIP � Telephone /
CONTRACTOR'S NAME/COMPANY i V /, t 1 �� 1 C��G UV _- ( Ur` No.6 o / `7217wass�
Contractor's Address t V Contractor's E-mail Address V( /✓k Y
- F— ��Iuon1[UN l
�_ Nt
City _ _ � State i Zip ! Telephone f7rti��2
SETBACKS REAR SETBACKS FRONT PERMIT NO. �(�
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE nFVFi r)PMFNT n,n