HomeMy WebLinkAboutX2020-1747 - Permit ApplicationPrint Foam Worksheet for Combo Building & Solar Permit Application
F_'Comrnl ITrResidential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL V
MiBuilding ❑Grading [Drainage ❑Elec [Mech [Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) ❑ Flood ❑Fire [ Liq Landslide (-'N/A Floor Suite No
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Description of Work i��/' ��(/%h U ;iC -r/ ly,5Jg ~JTjG N
U4� onstType
# Stories # Units (if Res)
Valuation $ 4.c
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Material/Labor "
`zLwevi� / ,, sJ %l L>1 L/L
f �'� yy/1z x 6y� r /�0.1
�Ct40 s'A' '
New/AddSF � 1SF c�. c
L/ Garage/New/AddI
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OWNER'S NAME Last /� ' /�!G �.i First I
Owner's Address
Owner's E-mail Address
City � State r � 1---��
�I ZIP � Telephoned
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APPLICANT'S NAME Last LGr/'1 X � First
Applicant's Address Applicant's E-mail Address
city r6AL90a1, `SL-AAV,fj State � Zip Z ,� Z I Telephone / J 75
ARCHITECT/DESIGNER'S NAME Last Zjl/�{�,� I First ,47(/vt Lic No
Architect/Designer's Address Architect/Designer's E-mail Address
I
City _; State C Zip �' Telephone
ENGINEER'S NAME Last First
._ �- Lic. No.F__ ___7I
Engineer's Address Engineer's E-mail Address
City State Zip Telephone
_ _ _ ,
CONTRACTOR'S NAME/COMPANY Lic. No. '
-- ------------ --- Class
Contractor's Address Contractors E-mail Address
City State F_' ZIP Telephoned-
_--..--_-_'
SETBACKS REAR SETBACKS FRONT 7PERMITNOSETBACKS
LEFT SETBACKS RIGHT ECK NO. 197�
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $/`/VI