HomeMy WebLinkAboutX2020-2961 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Per W0tion1,lo
F_ Comm'I r' Residential City of Newport Beach - Building Division o'
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL c.'o„.•'
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Project Addressl(Not�ailing ad dress) F! Flood r Fire r Liq F_ Landslide F_N/A Floor Suite No
1830 6equ Lace_ 6j,- yz” F_ F -I
Description of Work
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Use 5 R—, Const Type V9
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if Stories[Tq Units (if Res)F_
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Valuation $ Q
New/Add SF Remodel F �
R - Garage/New/Add �'!
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Material/Labor�I
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OWNER'S NAMEn
Last
- ` n First b r
R�c�b � _ ��b t�4lc� l=i'i�i Y1
Owner's Address
Owner's E-mail Address
City __. --_
-..I' State CA j Zip F_ Telephone HR -476-2551
APPLICANT'S NAME Last Richart _. _. First Jason
Applicant's Address
Applicant's E-mail Address
11141 W. 18th St, (A106)
Jason@richartdesign.net i
City Costa MesaState
CA Zip 92627 Telephone 949-422-9191
ARCHITECT/DESIGNER'S NAME
Last RichartFirst Jason ��, Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
1041 W. 18th St, (A106)
Jason@richartdesign.net
city Costa Mesa
State CA Zip 92627 Telephone949-422-9191
ENGINEER'S NAME Last
I NGW First F_ Lic. No.l49 'I
`1
Engineer's Address
Engineer's E-mail Address
27537 cOrntnerce_
W%►r OriiVe,
City I Teme c A-0--,
i State Zip F Telephone qq
CONTRACTOR'S NAME/COMPANY5 Lic. No. IbL73b-2� Class )j
N� ! ,I�,u r �t.s, v�
Contractor's Address
Contractor's E-mail Address
zz -77 6 _d���
_. ����exvs ���. SCJ
City i�-n�
_ IState e j, Zip q- .-i US Telephone '�/y'7 Z7 197 99
SETBACKS REAR 6
SETBACKS FRONT Z PERMIT NO. 0
SETBACKS LEFT (o
SETBACKS RIGHT lO PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $
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