HomeMy WebLinkAboutX2020-0915 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Appli Z)
F7 Comm'I Residential City of Newport Beach -Building Division Xw�)-o915
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
VjBuilding - Grading F7 Drainag
)Elec Mech Plum Yd cute,Cu Yd Fill
F-711,
Project Address (Not mailing address) E,'Flood
Description of Work
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Fire ❑ Liq Landslide F_N/A Floor Suite No
Use 7_7 Const Type y
# Stories (if Res)
P-1 # Units i , I
Valuation
6-M/A7d Remodel SF Garage/New/Add Material/Labor
7
�WNWIS NAME' Last ST,,e0Y71nR1J Firstr p6r,6.1,_-
Owner's Address Owner's E-mail Address
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CityC�i='%�%State I ejqej. :?eq, %i
A I zip Telephone 657
APPLICANT'S NAME Last First
Applicant's Address Applicant's E-mail Address
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City [,rV1,eq0rf W,�rO State CA Zip Telephone
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ARCHITECT/DESIGNER'S NAME
Last I op-0 w,".) First Lic. No. 4)
Architect/Designer's Address Arch itect/Designer's E-mail Address
City I I_A67(j1qq ///ZZS State zip Telephone
ENGINEER'S NAME Last I First Lic.No. [C13C//o
Engineer's Address Engineer's E-mail Address
City State zip Telephone
CONTRACTOR'S NAME/COMPANY _,r44r,_;V-f Lic. No. T�6 8 L/ Class
J F P7
Contractor's Address Contractor's E-mail Address
401CI,9A.49- eg x's
City pl,,55,10/0 V16
State Zip [,7:z&,'/'/ Telephone[ qql, -7L/ 'Z
SETBACKS REAR to SETBACKS FRONT PERMIT NO.
SETBACKS LEFT 6 SETBACKS RIGHT 5 f PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $