HomeMy WebLinkAboutF2020-0477 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
F_Building F_Grading
F-Drainage I-Elec rMech (-Plum CuvdCut F CuVdFill F
Project Address (Not mailing address) r Flood r Fire F_ Liq r Landslide F_N/A Floor Suite No
3 ,9 3 �/.ems •�o / �� %�e,.,� �. � �� �, F__ F__—
Description of Work
Use F—Const Type O00
#Stories #Units (if Res)
0y o Way
�D �• r f vA r 1�R6i row S
Valuation $
Material/Labor ) 2..
New/Add SF I—
Remodel SF F-- Garage/New/Add F
OWNER'S NAME
Last First
Owner's Address
Owner's E-mail Address
City
State F— Zip F— Telephoned
APPLICANT'S NAME
Last o. ^� Lo First 73 r t P' Y !!A,
Applicant's Address
Applicant's E-mail Address
3IC� S.
7W,„ dart's IPA
City I STN / (cr
5 State C%l Zip Telephone dC-e/7d--Y5w
ZO
ARCHITECT/DESIGNER'S NAME Last C.yG� err First I S � j 4 V Lic. No.�`
� y
Architect/Designer's Address
Architect/Designer's E-mail Address
City /ta,r 9 a,
State Zip Telephone �6C•�/fig-��j�pj
ENGINEER'S NAME
Last First F_ Lic. No4k;
Engineer's Address
Engineer's E-mail Address
City
State F_ Zip F Telephoned
CONTRACTOR'S NAME/COMPANY Lic. No. g& 00 Class cvo
Cv,.�vorG
Contractor's Address
Contractor's E-mail Address
3/0 120
City Sd(I/
State Zip Telephoned
SETBACKS REAR
SETBACKS FRONT PERMIT NO. F Lei ao - 0q^11
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. -4427c1 • Lc) (Yi
USE ZONE
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DEVELOPMENT NO ��V PLAN CHECK FEES $