HomeMy WebLinkAboutX2018-0289 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
Comm'I Residential City of Newport Beach - Building Division o a
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL `'w•""
fiBuilding { Grading rDrainage ✓lec rMech F/Plum CuvdCut �— cuvdFill F
Project Address (Not mailing address) F Flood (— Firer Landslide [_N/A Floor Suite No
F F
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Description of Work
Use 51 F� Const Type �—
# Stories #Units (if Res)
RCG COkeI I. jljc,hVR 3 %a� 00rn Reri\ove
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Valuation
Material/La rl��
New/Add SF1 Q
Remodel SFr§)0 10 F14 F Garage/New/Add o
OWNER'S NAME
Last! ' I First[ SCO'�T / Amb�C
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Owner's Address
Owner's E-mail Address
1 � 28 Colvice
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State � �. l� Zip CQ60 Telephone[ If
APPLICANT'S NAME
Last First
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Applicant's Address
Applicant's E-mai A(ddr�ess�
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City i
State F Zip �— Telephone�—
ARCHITECT/DESIGNER'S NAME Last First Lic No. I� -Zjaj9
t"1
Architect/Designers Address Architect/Designers E-mail Address
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'City
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State Zip �— Telephone
l0C(G(ct y-433
ENGINEER'S NAME
Last First - Lic. NJ —
Engineer's Address
Engineer's E-mail Address
I
City
State Zip F— TelephoneF—
CONTRACTOR'S NAME/COMPANY Lic. No. 10 9_7 Class+ —
S IUefS rvC' ConS4-t uG� pry
Contractors Address
Contractor's E-mail Address
2260
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City 1 f il � re
_ --_- State- E CA Zip 1=9 2 6 03 Telephone,- I. ") �Zk_s
SETBACKS REAR
SETBACKS FRONT y V PERMIT NO.
SETBACKS LEFT
q
SETBACKS RIGHT PLAN CHECK NO D
USE ZONE
DEVELOPMENT NO PLAN -CHECK FEES $ -