HomeMy WebLinkAboutX2021-1280 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
r Comm'I Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
FOR
F` Building I_ Grading F-Drainage FK Elec j_kMech fK Plum Cu Yd Cut F_
Cu Yd Fill
F_
Project Address (Not mailing address) f_ Flood [_ Fire F_ Liq F_ Landslide r_N/A Floor Suite No
2-337 L.a. L,rids, PIAce
New�o+l- $ec,cG, , G/i `r2 660
Description of Work Use S'^& Const Type Rcs.
i.
# Stories # Units (if Res)-
_
Valuation $
New/Add SF 0 Remodel SFF 1" Garage/New/Add o Material/Labor $2-5,000
OWNER'S NAME Last I 3olwv+SSon First
Owner's Address Owner's E-mail Address
2337 (.a (.1�1a Place de,�►cL der1..,�,��c.con
City Njey?orF (7jeack State Cq Zip 9 266o Tele hone
� p (9yal) $13 - $z.G7
APPLICANT'S NAME Last
First ,
Applicant's Address Applicant's E-mail Address
!y0$ e;C4...e.j 0^ m;ICe as
ii buriclvi tiros. Comet
City P/aeewL.o. State c�} Zip 9tg70 Telephone�7ra) 7c12
s- 3 Ns
ARCIi IGNER'S NAME
Architect/Designer's Address
City
ENGINEER' Last
Engineer's Address
City
Last
First
Architec s E-mail Address
State F_ Zip [_ T
First
Address
State Zip � Telephone
CONTRACTOR'S NAME/COMPANY au�l�ka�rl- 8roli,,erY C.nsFtvcF}oV1 Lic. No. gpss/d Classl (.
Contractor's Address Contractor's E-mail Address
/2 Balboa Coves b:Js(g? 6uvklu.vFbroS.Co.�
City New�r� 6e d, 'State C4 Zip Fq 246 3 Telephone (9 yq) &32 -13/0
SETBACKS REAR
SETBACKS LEFT
USE ZONE
SETBACKS FRONT
SETBACKS RIGHT
DEVELOPMENT NO
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEES $