HomeMy WebLinkAboutM2021-0078 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Perml�ppp I o4�` °Re
Comm'I F_ Residential City of Newport Beach - Building Division c P
NOTE: PLAN CHECK FEES DUE AT TIME OF SUVAk1TTN , If-%0VQ `'%oa�•'
Oi�§uilding FGrading (—Drainage F_Elec rMech rPlum cuvdcut cpuvdFiII
Flood Fire Liq/rgTi�A/�
Project Address (Not mailing
address) oo'T Suite No
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Sc>v d CITY OF NEWPORT BE�-
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Description of Work
se 'Const Type
e cv+0�/2 { IC2 P� C
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# Stories # Units (if Res)
New/Add SFF— Remodel SFF Garage/New/Add F
Valuation$ 30 U%�
Material/Labor i
OWNER'S NAME Last L,��,p 151 COVI+yvWn,. _/q,%>z•First
/
Owner's Address
Owner's E-mail Address
7111 Via, 1 -Mo ?oma( G11>0l$2,6' & C-19-AMA14— 601",
City _.../V f to r -t 13eAvk
State CA Zip TE_& 3 Telephone `._ �7 3 • b17v
APPLICANT'S NAME LastZslLGov.,wtvv,r('t/�}SSee, First
/
Applicant's Address
Applicant's E-mail Address
701 V A Lido Sava
1-10o 151 61iZA )vl AIz... Co Nl
City New/ fp,-t- 13&A
State 6f1 Zip ei (o(,3 Telephone °i_,F&1,170
ARCHITECT/DESIGNER'S NAME
Last First F Lic. No. F—
ArchitecUDesigner's Address
Architect/Designer's E-mail Address
City I
State Zip F— Telephoned'.
ENGINEER'S NAME Last
�a�ry t/ First P10.m--, LIC. NO.G �(o`t y7
Engineer's Address
Engineer's E-mail Address
2$11,1 Cotsjt,,s (ii.
P. }et; -UV , FMA-M,GOvvt
City I L•A/vv pa NiaJej
State Z -A Zip g2(,77 Telephone 7W- 717-T017-
17.7592CONTRACTOR'S
CONTRACTOR'SNAME//COMPANY
SHC61mak2� roc. Lic No. 'i31 Class
Contractor's Address
Contractor's E-mail Address
837 W. Il tti•
5kelIM^kcr- e 6 b to 6) r,Ct
City I GpSfr- 1vlt,,,,-
State CA Zip 5;&11 _-7 Telephone Cqj-_Sj$•$?51
SETBACKS REAR
SETBACKS FRONT PERMIT NO. kA( OZ l — C-07-14
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. Qj 0( -7 -
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $