HomeMy WebLinkAboutX2018-2860 - Permit ApplicationPrint f orm Worksheet for Combo Building & Solar Permit Application ? a
r Comm'I ("•"Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing address) 1- Flood r Fire r Liq rLandslide rN/A Floor Suite No
4606 WAYNE ROAD
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Description of Workl. M wr 0 G bl
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Use &Fl Const Type VB
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# Stories #Units (if Res)
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Valuation In
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—New/AddSFF —
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Remodel Sr �7
Garage/New/Add
Material/Labor
OWNER'S NAME Last SCHWARTZ
First KELLI
Owner's Address
Owner's E-mail Address
Q l 1�71�v C 00.
City Ne�P6r taa State CA Zip F_ Telephone���(SCJo
APPLICANT'S NAME Last Richart
First Jason
Applicant's Address
Applicant's E-mail Address
1041 W. 18th St, (A106)
Jason@dchartdesign.net
City Costa Mesa —�--- State CA
Zip 92627 Telephone949-422-9191
ARCHITECT/DESIGNER'S NAME Last Richart First Jason Lic. No.i
Architect/Designers Address
Architect/Designers E-mail Address
1041 W. 18th St, (A106)
J)ason@richartdesign.net
City Costa Mesa State CA
Zip 92627 Telephone 949422-9191
ENGINEER'S NAME Last GHAZLANI
First ANDY Lic. No.1 �(J( l
``CC '
Engineer's Address
Engineer's E-mail Address
Z0ZA-Uan C AvC- S
City Long Beach
FA
Zip Telephone � _ LJ
�State
CONTRACTOR'S NAME/COMPANY IL
/� � 7-L0%, Lic, No. 16577F/ Class i�
Contractors Address
Contractor's E-mail Address
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City I [(x� o —State I�r
Zip Telephone�J�
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SETBACKS REAR SETBACKS FRONT
PERMIT NO. . 6,14
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. ®.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $
mw Co.