HomeMy WebLinkAboutX2018-3335 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
,<Comm'I r Residential City of Newport Beach - Building Division �` 546'-20!8
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL X9018-33359
Building r Grading
r Drainage r Elec r Mech r Plum Cu Yd Cut Cu Yd Fill F
Project Address (Not mailing r Flood j- Fire r Liq F e rNIA Floor Suite No
G 1��� D_ _
�aQdd�ress)
U I/��X/V
Description of Work
FTQ—
Use 1 to Const Type
20
I
#Stories #Units (if Res)
Valuation $
Material/Laborr
New/AddSF1 Remodel F Garage/New/Addy _
OWNER'S NAME
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Last ifJ V VLU Q ��C First CI � SW' Lucaly
' ` v
Owner's Address
Owner's E-mail Address
2301D "VW
6W. ( b
City F YgT*
State0/1— Zip I `�2 TelephoneF_
APPLICANT'S NAME
Last First
Applicant's Address
Applicant's E-mail Address
City �
State F_ Zip F— Telephone
ARCHITECT/DESIGNER'S NAME Last 'First r- Lic. No. F_
Architect/DesigneesAddress
Architect/Designees E-mail Address
City I _
State F Zip F Telephone
ENGINEER'S NAME
Last �-� First F_ Lic, No. F_
Engineer's Address
Engineer's E-mail Address
City �
State F_ Zip F— Telephoner--_-
CONTRACTOR'S NAME/COMPANY I D t NC Lic No. q $'� SS Class
Contractor's Address
Contractor's E-mail Address
i0 to 5. l -f" fl,, r,✓Uy
5t. f c N4o
City I sc,„v -fc A `
State FC4 Zip Ra 7o ,F Telephone 7/6f-�C-0 0177
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $