HomeMy WebLinkAboutX2020-2939 - Permit Application'VIRorsh�et for CorribaBull�lirq Solar Permit Aplicatton a�
Y..Bb°b P yd, II 5 x cN. N,✓C14..0
(—mm'I �I Residential X – ity of Newport Beach - Building Division n
NOTE. PLAN CHECK FEES DUE AT TIME OF SUBMITTAL �4aoa
rte;, ;.
Dom..
Description ofWorkUse
C ConstType
i
# Stories17 '- # Units (if Res)C
New/AdF
d S
r
Val
�uatloh $
Remodel SF �G U 1 Garage/New/Add �_ Material/Labor
'
j
L
OWNER'S"NAME'
Last First
i
Owner s Address
Owner's E-mail Address
f
City 1 State ��' Zip Telephoriel—
%►PPLICANTS'NAME
Last First
irst:Applicant's
-
App 1icanVsAddress
Applicant's E-mail Address
City T State Zip Telephoner
ARCHITECT/DESIGNER'S NAME Last First Lic. No. �—
Architect/Designer's Address
Architect/Designer's E-mail Address
iCity
_ State �— Zip!
Telephoned!
ENGINEER'S NAME
—. .,
Last FirstLic. No.
i
Engineers Address
Engineer's E mail:Atldress
Ci
State �— Zip
— Telephone—
CONT " TOR'S NAME/COMPA
Lic. No Class
Ul�ssact�d?� g9 M
R
Contractor's Address
_GontractoesE-mail-Address
City
' 7 Fop _ $-Zf,U�i--
SETBACKS REAR
SETBACKS FRONT PERMIT NO:
SETBACKS LEFT
SETBACKS RIGHT ' PLAN CHECK NO.
_
VSE; -ZONE ,
'
DEVELOPMENT NO - PLAN CHECK FEES -
�. r.
a
.