HomeMy WebLinkAboutX2020-0070 - Permit ApplicationPrintft�tm Worksheet for Combo Building & Solar Permit Application Comm'] r/ o��E�PoR>m
�Residential�ZO ?-0 -0670 City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL °�� �a�"
/Building ',Grading r`I,Drainage j—Elec j ;Meth 7 -Plum cuvdCut r cuvdFill F_
Project Address (Not mailing
address) [7, Flood r'i Fire F Liq F_ Landslide rN/A Floor Suite No
Z.D 2 t 4)ar� _ C�%2 FSu. /0,6, Gid 01 ZCe 4 O F_
Description Work
Use F Const Type u
7wS{w
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AA
✓LS t-uf (c<,it� �h �
Tl i�e�rrN ln.V q
# Stories # Units (if Res)r�
Valuation $
Material/Labor
New/Add SFr— Remodel SF F— Garage/New/Add',
OWNER'S NAME Last
Lir; First c,ry 5
Owner's Address
Owner's E-mail Address
202.,1 _IRA- Cd,,
_
City n%e 3, _..._
_.. State F Zip q, -&&O Telephone(yy5) 280.- 73'-7 L(
APPLICANT'S NAME Last Is
First
Applicant's Address
Applicant's E-mail Address
133
15th yW-)As64a, cart
City (f:;4o, tjr
_. State 1 ( Zip _I Telephone RKq,324'3(ti -
ARCHITECT/DESIGNER'S NAME
Lic. No.
Last First FF
Architect/Designer's Address
Architect/Designer's E-mail Address
City ru
State Zip Telephone F�
ENGINEER'S NAME Last
First _ Lic. No.F_
Engineer's Address
Engineer's E-mail Address
City
State Zip Telephone
CONTRACTOR'S NAME/COMPANYLic.
No. l D29u Class Cc�(c7
Contractor's Address
Contractor's E-mail Address
S�-
City Gs4v, ,�
State 1 644 Zip9� TelephoneqoB Llii - 39333
SETBACKS REAR
SETBACKS FRONT PERMIT NO. �r�'L� %� - 0070
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. K2-624
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $