HomeMy WebLinkAboutX2017-3868 - Permit ApplicationX Zo1'I -310
Worksheet for Combo Building & Solar Permit Application
F_ Comm9 r Residential City of Newport Beach - Building Division a
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
(—Building (—Grading [-Drainage lec �Mech um Cuvdcut� cuvdFinF
Project Address (Not mailing address) F- Flood (- Fire F-, Liq [- Landslide : _N/A Floor Suite No
Description of Work Use Const Type
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lz4tOL�A # Stories # Units (if Res)
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!. — Z. GO CpN.t Trite (acw�-cnk 50✓�I.{ Dr w.tcC( i� -arr
Valuation $
New/Add SFF Rerhodel SF G geMew/Add Material/La � r 000
OWNER'S NA Last First�r{ J.
Owner's Address .Owners E-mail Address
321 i�tSv pr�1.ti
City �„�, State C� Zip— Telephone \�:)_3G�.
APPLICANT'S NAME Laster s Fra rca First
S�fd,
Applipant's Address Applicants E-mail Address
a,; krcu_as cou.t
.cityI rr_ --r State C� Zip Telephone Glyo/_21L f77
ARC/HIT'ECT/DESIGNER'S NAME Last First— Lic. No.
Architect/Designers Address Architect/Designer's E-mail Address
City state F___ Zip F_— Telephoned
ENGINEER'S NAME Last First Lic. Not
Engineers Address Engineers E-mail Address
City state Zip F_ Telephone—
CONTRACTOR'S NAME/COMPANY/ f Lic. No. WAS, Y5 J Class
t(,S e,
Contractor's Address Contractor's E-mail Address
"l.�Q.: • Cor�F -' ��' C' (M�f vl t ,,6 Italy,/&5 Cd70-1
City— State Zip��— Telephone /Li
SETBACKS REAR SETBACKS FRONT (, 7 PERMIT NO.CZ® ;� rO
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $