HomeMy WebLinkAboutXC2024-0284 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
r Comm'I r Residential City of Newport Beach - Building Division g
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding r Grading r"Drainage r Elec r Mech
r Plum CuvdCut F CuYdRI F
Project Address (Not mailing address) F_ Flood
r Fire i— Liq r' Landslide FX_N/A Floor Suite No
3010 La Vida, Newport Beach, CA
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Description of Work
Use FU ConstType V-B
# StoriesF #Units (if Res)
Installation of One 20x20 SPP Canti Shade Awning
New/Add SF 400 Remodel SF�— Garage/New/Add F
Mate ial/LaborValuation $ $34,455.75
OWNER'S NAME Last Newport Beach
First City of
Owner's Address
Owner's E-mail Address
100 Civic Center Dr
City Newport Beach State CA
Zip 92660 TelephoneF—
APPLICANT'S NAME Last
Applicant's Address
Applicants E-mail Address
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City [jjtU)ii'Xf*ZA-, State
Zip ,92�Z.7 Telephone giq.(oc!•�.3(S(o
ARCHITECT/DESIGNER'S NAME Last
First F_No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City State F_
Zip F— Telephoned
ENGINEER'S NAME Last
First Lic. No.r
Engineer's Address
Engineer's E-mail Address
City State
Zip F Telephone
CONTRACTOR'S NAME/COMPANY USA Shade
Lic. No. F CI ss
Q $g�-4 S�
Contractor's Address
Contractor's E-mail Address
2580 Esters Blvd, Suite 100
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v
City DFWAirport State TX
Zip 75261 Telephone2146810147 CON)
SETBACKS REAR SETBACKS FRONT
PERMIT NO. x
SETBACKS LEFT SETBACKS RIGHT
/2'
PLAN CHECK N . (� U Z
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $