HomeMy WebLinkAboutX2019-1530 - Permit ApplicationPant Foam Worksheet for Combo Building & Solar Permit Application U
ag ResidentialCity of Newport Beach - Building Division 7A) (r- /530 Comm'INOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 0
(X Building r Grading (—Drainage Elec r,Mech ` Plum Cu Yd cut Cu Yd Fill FJ
Project Address (Not mailing address) F_. Flood-ire-..F—Li9 F --Landslide FN/A. Floor - Suite No
Description of Work User Const Type s,��i�
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eta �ti�R�fiaiS �cl�f ��rxi bier t' �I' �b
# Stories�� # Units (if Res)
yy . Valuation $ y,IQ
New/Add SFF_ Remodel SF •��� Garage/New/Add �— Material/Labor 9 (/
OWNER'S NAME Last "�'i �y '2 ✓l��r�� First F—
Owner's Address Owner's E-mail Address
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City F� j' V jAl i State ��, - Zjp �qqqqqq 'L (7 �'7 . Telephone G 7, —2-0 -
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APPLICANT'S NAME Last 1�— First ! zK
Applicant's Address Applicant's E-mail Address
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City/�� �- State t,� Zip.. 1�'�G'� Telephone 4:;2.�j..•�j�'
ARCHITECT/DESIGNER'S NAME Last U�/r First u L� Lic. No.F6 I
Architect/Designers Address Architect/Designer's E-mail Address
City State C�'�. Zip Telephone
ENGINEER'S NAME Last First �— Lic. NoF—
Engineer's Address _ Engineer's E-mail Address
City ,. State �— Zip F— Telephone�'1 /
CONTRACTOR'S NAME/COMPANY e� - @a�� �, "��5 -e.0— Lic No. MVV ( Class
Contractor's Address Contractor's E-mail Address p
City �_--�-
State f—�,— Zip C�\� Telephone qik�'���_atOS�
SETBACKS REAR - SETBACKS FRONT PERMIT NO. X0'461
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $
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