HomeMy WebLinkAboutX2020-2595 - Permit Application (3)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
New/Add SF 5 . F- Remodel SF--<-- Garage/New/Add �C L/I L. 4. c�—
OWNER'S NAME Last
Owner's Address I
17 7, �tZE 7 , I�l�
city �% - State r®
APPLICANT'S NAME Last F-
O
Applicant's Address /
1/1 L_ l Z_C'
City � �� ,7 State
ARCHITECT/DESIGNER'S NAME
First - -z>
Owner's E-mail Address
r Building F-
Project Address
r_ Elec F Mech r- Plum Cu Yd cutr- Cu Yd Fill
address) F Flood F_ Fire r- Liq r" Landslide FN/A Floor Suite No
Description of Work
Use'r�'l FonstType r
# Stories2.
# Units if Res)F
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abor
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ZiP F— Telephone
First ) - Ze(( �E
Applicant's E-mail Address
5 4 Cs C
ZiP r_ Telephone c 7
Last V�%/�1_^(/ First /_l;' c, Lic. No.�-
ruwmecwesigners Adtlress
City State F(KL
Architect/Designees E-mail Address
Zip (b, TelephoneF/q.,, _ Y,72 1i q, </
ENGINEER'S NAME
Last p�>!d, `�_ First � Lic. No. —
L ��jci • �C'7
Engineers Address Engineer's E-mail Address
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City
State r - Zip �fGlC( Telephone
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CONTRACTOR'S NAME/COMPANY
Classz
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Contractor's Address Contractor's E-mail Address
Ste �- ZIP �.c� Telephone
1 S BACKS REAR SETBACKS FRONT
PERMIT NO. -
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USEZONE DEVELOPMENT NO
PLAN CHECK FEES $