HomeMy WebLinkAboutX2019-3468 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application ��
City of Newport Beach - Building Division o '
Comm'[ ( Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL .�_ "
Building r Grading rDrainage WElec r" Mech r7PIum CuvdcutF cwdFill F
Project Address (Not mailing address) F_ Flood r- Fire r- Liq F_ Landslide F N/A Floor Suite No
0560 BaYPDMP cgrlye, n1 Wd " DeCtOh r RR(��D �® F
Description of Work
Use FW3 Const Type FV �3
# StoriesF,#Units (if Res)
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Valuation $
Material/Labor �O/ � ,o
New/Add SF �— Remodel SF � Garage/New/Add F_—'
OWNER'S NAME Last MIU.GP-19 First I C4MS
Owner's Address Owner's E-mail Address
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City hf v jf 1 Z+ beach State Fd� Zip q� 6 TelephoneRq.%) 0 •, F
APPLICANT'S NAME Last LW r0 First C H RI S
Applicant's Address Applicant's E-mail Address
City )0 T b each SlateF6k Zip �� (p Telephone `I �� , �� a!
ARCHITECT/DESIGNER'S NAME Last First I ram"' 7 Lic. No. C a 941
Architect/Designees Address Architect/Designees E-mail Address
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City I Sin ougd State Zip ga)01 TelephoneF�IQ•,-oG]•a�c,3
ENGINEER'S NAME Las[ First F® Lic. No.F—
Engineer's Address Engineer's E-mail Address
City State F_ Zip � TelephoneF_
CONTRACTOR'S NAME/COMPANY I n Lic. No. 6VwlasS F
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Contractor's Address Contractor's E-mail Address
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City. State I C*1 h— Zip Cj a02 Telephone J lq i/1
SETBACKS REAR SETBACKS FRONT PERMIT NO. , q' :J,A ( V
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $