HomeMy WebLinkAboutX2020-2212 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
tEw�RT
r Comm'I F Residential City of Newport Beach - Building Division t4
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
j—Building r Grading r-Drainage r Elec j—Mech r Plum CuYdcuts—
Cu Yd Fill
Project Address (Not mailing address) 1— Flood f Fire i— Liq r Landslide FN/A Floor Suite No
(oa Lido Park drive, t4vwpork Reach, C/\ 012re(o3 F— F—
of work
tlati54'igl and Bonchel.Ae)j rflf Ri-.
New/Add SFF_ Remodel SF
ttlt [wn rn�nn� o Q Use F Const Type F
# Stories # Units (if Res)s
Valuation $ 5c- 6100
Garage/New/Add �— Material/Labor F4
OWNER'S NAME Last WO Lido Hom tAamerf
AS ioU a}j%7 First
Owner's Address
Owner's E-mail Address
Z412 U�arnlerxtoaci r Stn �e 250
City T_ Sin State
Zip Telephone q� 250m10
APPLICANT'S NAME Last (7qY[ l> q
Applicant's Address
110105 Sky ParK Grate . Svi i }e (�7
City IyVjnt State s�
First T'Cresltq
Applicant's E-mail Address
- of @ _6—aradesign.
Zip r qZ-7o4 Telephone "j1 _33 )b
ARCHITECT/DESIGNER'S NAME
Last &Ulrla First Lic. No. t✓ 2 o (a l
Architect/Designees Address Architect/Designees E-mail Address
11QN35 St~y pgl-k G,-GFe, Sui}C G
YiGY @ gb-clrchdesigrl rr�
City �YVlne State EA Zip Gj-504 Telephone -7)4 4e,(,p -33)3
ENGINEER'S NAME Last
First F� Lic. No.F—
Engineers Address Engineer's E-mail Address
City I State r—
ziP [— Telephone
CONTRACTOR'S NAME/COMPANY
F-E2G5Ccylk Lic. No. (�2?�3 Class�—
IX
Contractors J /
Contractors Address Contractor's E-mail Address + t:ii
C L3 C 5
Y- vl6S. �1c, Q1�� �'
city T r V , V1 C_ state FZ i zip l2 S Telephone (G UG) - 6: SIG'- _52 02
SETBACKS REAR SETBACKS FRONT PERMIT NO. r
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $