HomeMy WebLinkAboutX2020-2784 - Permit ApplicationX7iU7iD- Z�gy
I=nnrForrrr Woreet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division
r Comm'I iResidential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL u
(',Building F_ Grading rainage F-Elec ` Mech F-PlumCuvdCut F_ CuvdFill
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Project Address (Not mailing address) F- Flood F_ Fir , LI F" Landslide r_N/A Floor Suite No
Description of Work Use Const Type
# Stories[— # Units (if Res)F—
_. ..... Valuation $ ��� ....
New/Add SF iP-- Remodel SF 2 -CO fF Garage/New/Add — Material/Labor
OWNER'S NAME Last Ha/_)_r/ First
Owner's Address Owner's E-mail Address
City I 'YGWIj�JlV,+ State r[H. Zip `7L� Te
APPLICANT'S NAME Last
Applicant's Address
City I �'r/ (O W* State ��-
First
Applicant's E-mail Address
Zip%?G Z__33 TelephoneG74GG�27Z�
ARCHITECT/DESIGNER'S NAME Last iLi')/)y' T _ First ��. Lic. No. F_
Architect/Designer'sAddress Architect/Designer's E-mail Address
City _ State r� Zip Telephone
F
ENGINEER'S NAME Last 5N400 ori7el First ,4/_>,g44,1/ Lic. No. 653-3.7j'
Engineer's Address
i 7lot vra✓ r✓ J4el7z Gao
City � �� _.. State I Zi
Engineer's E-mail Address
le&b IQ •Com,
Zip �2>�u Telephone Gj Le C)) Y-2-2
CONTRACTOR'S NAME/COMPANY Lic. No. F— Class
Contractor's Address
City State
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
Contractor's E-mail Address
Zip [ , � Telephoned
PERMIT NO. XZbZo Z-70 -I
PLAN CHECK NO. -7-o
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $