HomeMy WebLinkAboutX2019-1858 - Permit ApplicationX201q -VrflSS
Worksheet for Combo Building & Solar Permit Application
r Comm1 Residential City of Newport Beach - Building Division
- --- - ---- --NOTE' PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding r Grading
F -Drainage rElec rMech r" Plum Cu Yd Cut Cu Yd Fill F_
Project Address (Not mailing address) C Flood F Fire F_ Liq F Landslide j -N/A Floor Suite No
Description of Wok
Use Const Type I'
#Stories #Units (if Res)
L
1 t� �"l"f��,
j
btT'r� Si �
Il
Z I
Valuation 5vw
Material/Labor
New/AddSFF
Remodel SF�— Garage/New/Add" ��
OWNER'S NAME
Last First
Owner's Address
Owner's E-mail Address
City
State F— Zip I. Telephoned—
APPLICANT'S NAME
Last First
Applicant's Address
Applicant's E-mail Address
City
State �— Zip �—: TelephoneF—
ARCHITECT/DESIGNER'S NAME Last First F Lic. No. F—
Architect/Designers Address
ArchitectfDesigners E-mail Address
City
State F Zip I— Telephoned
ENGINEER'S NAME
Last First Fi Lic. No.F—
Engineer's Address
Engineers E-mail Address
City
State I Zip— TelephoneF—
CONTRACTOR'S NAME/COMPANY Lic. No. �— Class
Contractor's Address
Contractors E-mail Address
City
State — Zip F__ TelephoneF—
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
3� 2'
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $