HomeMy WebLinkAboutX2021-0107 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application
r Comm'IrResidential X,202 1-010 7 City of Newport Beach - Building Division
, NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rXjBuilding rl Grading
r,Drainage r'Elec rMech
r Plum Cu Yd cute CuvdFill
Project Address (Not mailing address) r Flood Fire Liq r Landslide r /A�
F7 r- N Floor Suite No
1937 Port Trinity
Description of Work
Use Const Type
16" sq x 36" tall brick pilaster within 3 ft. of SE prop. line.
# Stories # Units (if Resf
New/Add SFF
Remodel SFF— Garage/New/Add F—
Valuation $
Material/Labor500
OWNER'S NAME
Last
First
Owner's Address
Owner's E-mail Address
City
State F-
Zip F TelephoneF—
APPLICANT'S NAME
Last
First
Applicant's Address
Applicant's E-mail Address
City
State �-
Zip F_ Telephoned
ARCHITECT/DESIGNER'S NAME Last
First Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
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 I Telephone—
CONTRACTOR'S NAME/COMPANY
Lic. NoT Class
Contractor's Address
Contractor's E-mail Address
City
StateF
Zip Telephoner
SETBACKS REAR
SETBACKS FRONT
PERMIT NO. 2-0-2 o�
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK 60.
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $
Print Form Worksheet for Combo Building & Solar Permit Application
CommialX,20,21.0'0-7 City of Newport Beach -Building Division
'I r' Resident
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
FX -Building r Grading
r–Drainage r Elec r Mech j–, Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) F_ Flood r Fire F- Liq r Landslide rN/A Floor Suite No
7937 Port Trinity
Description of Work
Use F—Const Type I�
Retaining wall within 3 ft. of prop. line: 56 ft long x 2 ft. tall
# Stories # Units (if Res)!,
New/Add SFF_
Remodel SF( Garage/New/Add �
Valuation$ 2000
Material/Labor"
OWNER'S NAME
Last �— First
Owner's Address
Owner's E-mail Address
City
State Zip F TelephoneF�
APPLICANT'S NAME
Last First
Applicant's Address
Applicant's E-mail Address
City r
State I Zip F_ Telephoned—�—
ARCHITECT/DESIGNER'S NAME Last �— First F!�,
Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City �
State F_; Zip F_ TelephoneF�
ENGINEER'S NAME
---
Last First Lic No.F_
Engineer's Address
Engineer's E-mail Address
City
State F— Zip �— Telephone[—�
CONTRACTOR'S NAME/COMPANY Lic. No. F Class
Contractor's Address
Contractor's E-mail Address
City �—
State Zip F_ Telephoned
SETBACKS REAR
SETBACKS FRONT PERMIT NO. n y
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $