HomeMy WebLinkAboutX2018-1083 - Permit ApplicationWorks et for Combo Building & Solar Permit Application
Comm'[ X Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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escription of Work
15 Remodel SF
F_ Flood F_ Fire r Liq F_ Landslide
N/A Floor
Suite No
Use I1Z3 const TypeFV-13
# Stories I # Units (if Res)
OWNER'S NAME Last- A 146M First)
Owner's Address Owner's E-mail Address
to (a C- IZ P0, 14 02
State C -A Zit �126L� _ phone 1 q g 3 a 3 5
City G1%[�( 'Tele
APPLICANT'S NAME Last
Applicants Address f Applicants E-mail Address
City (,Aw"A L"_3 _.. State I T Zip I U 53 Telephone) qq ,S?may -100
ARCHITECT/DESIGNERS NAME Last gA' Com' First l� W,
Lic. No. 4
Arehitect(Desigres Address �q,., y�, / {AArchiite�ct(Designer's E-mail Address ``7
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City ojw _. Ltip State Zip IFZ&, 3 Telephone, � �+�-
ENGINEER'S NAME Last °Old First Lic. No. Pi 7&_
Engineer's Address Engineers E-mail Address
VIS -2- Ull QU%Id" low (JLJU . V &. aoieq
City N�' _. 5 State �_. Zip l �26 1-3 Telephone. `?li f r �6, .- 6T7�
CONTRACTOR'S NAME/COMPANYrizrZucGLZI Lic No. &�36�0 Classir6
Contractor's Address Contractor's E-mail Address
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City �AADC, k(/,,, _ - _ State f Zip' Telephone!?�ydbP;V _ j
SETBACKS REAR
SETBACKS LEFT
SETBACKS FRONT
SETBACKS RIGHT
PERMIT NO.� ( i
PLAN CHECK NO-
F -
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $