HomeMy WebLinkAboutF2020-0477 - Permit Application (3)Print Form Worksheet for Combo Building & Solar Permit Application (SP
F- Comm'I F Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building F_ Grading F-Drainage F_ Elec F_ Mech
F- Plum Cu vd Cut Cu Yd Fill
Project Address (Not mailing
address) F_ Flood
j- Fire F_ Liq F_ Landslide FN/A Floor Suite No
F —
3 p 3
fie,.,.
z�., e
Description of Work
Use F_ Const Type I
# Stories # Units (if Res)[—
Valuation $
J
New/Add SF Remodel SF Garage/New/Add
Material/Labor I Z
OWNER'S NAME Last
First
Owner's Address
Owner's E-mail Address
City
� State F
Zip F— Telephoned
APPLICANT'S NAME Last
o I v
First
Applicant's Address
Applicant's E-mail Address
)
31 S. 7w,^ �e,1C$ ��
7 C70 •,•, P.r, Cpr dN 4✓L,
�1
City S 6 N zlo r O 5
State Cl�
Zip 9 aax Telephone t o _�/7d - v-iy9
Z
ARCHITECT/DESIGNER'S NAME
Last C4r- First 731 { ; , Lic. No. !
y
Architect/Designer's Address
Architect/Designer's E-mail Address
City �� 5 •ate
State /L
Zip � Telephone �COa-c178_ "r99
ENGINEER'S NAME Last
First F Lic. No.1 %i
Engineer's Address
Engineer's E-mail Address
City �
State F
Zip Telephoned
CONTRACTOR'S NAME/COMPANY
✓ u v t
Lic. No. 9_&80, Class
Contractor's Address
Contractor's E-mail Address
310 $, 7,G. 044s5-
/?D /07.3CQ
City 1 SIN l✓fofco S
State (*
Zip i�0 Telephoned"_"
SETBACKS REAR
SETBACKS FRONT
PERMIT NO. F-L6 6LD - ()g I
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. (�j7cl - LUI
USE ZONE
(�,
DEVELOPMENT NO p J LVV
/ \
PLAN CHECK FEES $
1_ Print Form_ ] Worksheet for Combo Building & Solar Permit Application
F- Comm'I F- Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
(-Building (-Grading (-Drainage F_Elec rMech FPlum Cu Yd cut Cu Yd Fill
Project Address (Not mailing address) I— Flood r Fire r Liq F_ Landslide FN/A Floor Suite No
3,93�—
Description of Work
Use F—ConstType
y^ r en� ran S
# Storiesr J #Units (if Res)
Valuation
New/Add SF F_Remodel SFF—Garage/New/Add F
$
Material/Labor ) Z v
OWNER'S NAME Last
First
Owner's Address
Owner's E-mail Address
City
� State F_ Zip F_— Telephoned
APPLICANT'S NAME Last 1
677 l n First
y
Applicant's Address
Applicant's E-mail Address
3/� S. TW,^
delis Qm
City s N
5-C7QM
State Cl� Zip 9 ai7, Telephone � Oe,,el p
' ( r Z 0 5
ARCHITECT/DESIGNER'S NAME
Last Cy4-r First Sc1 3 �_Y Lic. No. iVU—
Architect/Designees Address
Architect/Designees E-mail Address
City � , 5 ,
s
�6G-
State /� Zip Telephone �/fig-��jp9
ENGINEER'S NAME Last
First F__ Lic. No4k;_
Engineer's Address
Engineer's E-mail Address
City �
State F_ Zip F_ Telephoned
CONTRACTOR'S NAME/COMPANY
Lic. No. 80 Class C�Q
oii+ ✓ n r �
Contractor's Address
Contractor's E-mail Address
3/0 �, 7wr, 004!;
/?D /07 3C�D
City S/N �ofco g
State (_L Zip j7, Telephone _yam
SETBACKS REAR
SETBACKS FRONT PERMIT NO. r�`p1C7 C) 1�1�
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. (1j7� • Ly�Y�
USE ZONE
, , \
DEVELOPMENT NO p J(yIQ PLAN CHECK FEES $