Loading...
HomeMy WebLinkAboutX2021-0477 - Permit ApplicationPrint Form I I Worksheet for Combo Building & Solar Permit Application Comm'I �, Residential City of Newport Beach - Building Division X2021 -04y:1% NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL IVIBuilding Grading r71Drainage ❑ Elec r! Mech r Plum cu Yd cut i Cu Yd Fill l Project Address (Not mailing address) ❑ Flood j-1 Fire rl Liq F -i Landslide I -N/A Floor Suite No FE T_ 1Description of Work f 1 Use F Const Type F � # StoriesF—1 #Units (if Res)F_I I New/Add SFF-7777 Valuation $ Q Remodel SF Z, -1C0 Garage/New/Add F--; Material/Labor vs OWNER'S NAME Last j6p.4 H Ir) ,<, If LLG I First Owner's Address Owner's E-mail Address Z1J331 Irv: ��G P v2. 5�. E1 Seg2 LD1 Imo+ -v,0;, (. Goad City ILS .> or 1 �cc c In State G I 73 - _ p (,&5 Telephone �jl�(� (o8�'j Zi qlz( APPLICANT'S NAME Last �}e CowSc� S v mac. First Applicant's Address City pt-cw�� State [Z(%, Applicant's E-mail Address Zip Telephone l� �3i 1500 ARCHITECT/DESIGNER'S NAME LastFirst Maj%1naC.��-�(�a✓•no�p, -_- Lic. No. GZIHb'i I� Architect/Designer's Address City V..CApr-u; Ike_ State CA Architect/Designer's E-mail Address 1�-1e-5\f. .�%�+.Mb%v@..Iolno0. G6m - - -_ Zip TelephoneFV) 7lop Z`ll -?85 ENGINEER'S NAME Last First Engineer's Address City State Lic. No.F—1 Engineer's E-mail Address '$V3oo'I�W3v -i Zip F -----7I Telephoned CONTRACTOR'S NAME/COMPANY Lic. No. Class cwt nn Lic. ' s!, _... Contractor's Address Contractor's E-mail Address p 7/H [>3?- t�b� �_ � c,wv> r� erg ll F•\E.-65G, Ne City � c.,us� State G� I Zip gZ�(oPj Telephone SETBACKS REAR SETBACKS FRONT PERMIT N0. (Z -C> �` ©`�7 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $