HomeMy WebLinkAboutX2019-0069 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application qraiv
4Comm Residential City of Newport Beach - Building Division /t Z� )� �0(0� NOTE: PLAN CHECK FEES *D/UE AT TIME OF SUBMITTALoa�
Building Grading Drainage Elec r Mech Flt Plum Cu yd cut._ Cu yd Fill
Project Address (Not mailing address) (-i Flood I' Fire r— Liq r Landslide [_N/A Floor Suite No
IMpNT(�AL &11- NC-Wfo+tir-&pea 4/,l0 F
Description of Work
kcpLtrC_ Opp(-& rtr4-s wirypc—X - pew vlrr-t6Es rtwa
D&fi-Ines itj S1hwmS NE -w 6we,&Tr - //or AU •Tr CC- Ftar�T
New/Add SF
Remodel
Garage/New/Add
OWNER'S NAME Last Avog P4 /S -TE -A b'/L&rsj
Owner's Address
Owner's E-mail Address
City State Zip
APPLICANT'S NAME Last I n4 /j -/S TZ7L
Applicant's Address
�a ala -LE -21 �
cityw-* P P yL r State C
Use F_ Const Type.
# Storiese # Units (if Res)r
ht6ee
First . M Ii'N q
Applicant's E-mail Address
amahj 1'efet-(� a° 1, Ce tM
Zip Telephone y! d b T, gx/Cff
ARCHITECT/DESIGNER'S NAME Last 41V iYLLI First ��--
%LJ �lif1-y Lic. No.
Architect/Designer's Address S ra nl6 'bC—Cl/!<6 /A/C Architect/Designer's E-mail Address
R/J f 9_ C—ve- b snug (MCS @ STVMe FVKei0C L"W
City I FV VIOU State
I / Zip0-Telephone
ENGINEER'S NAME Last f First F�,_, Lic. No.rFv...-
Engineer's Address
City State r�
Engineer's E-mail Address
Zip Telephone
CONTRACTOR'S NAME/COMPANY I Lic. No. F; Class F_
Contractor's Address
City ^..,..�_-. State
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
Contractor's E-mail Address
Zip TelephoneF�—
PERMIT NO.
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $