HomeMy WebLinkAboutX2016-4249 - Permit ApplicationW hee for Combo Building & Solar Permit Application
F-,, Comm'IResidential 1 City of Newport Beach - Building Division
C Cl NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
F -!Building [,Grading rainage ❑Elec F-Mech [-;Plum Cu Yd cut Cu Yd Fill 17
Project Address (Not mailing address) ❑Flood [°; Fir �N �I Landslide 1 -N/A Floor Suite No
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lea 15 + 1 015 L t7nL&^ t3l.v 0. V,/
Description of Work
Use [-) Const Type F -I
# Stories #Units (if Res)
F
Valuation $ r
New/Add SF / Remodel SF Gara a/New/Add I
SF FI g
Material/Labor y 5 0.
OWNER'S NAME Last t,^u/oa,2.✓IA-uw i First LkN C.LE-
Owner's Address Owner's E-mail Address as
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L'i�IFJ'71 �r✓/u� ^�l �V' _ �G`7CP 1Gl U% C✓C SJe-�'�
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City IiAsW r !k t /L W �y J State ! " ZIp g 2-v l _ I Telephone 3t 2 9oi -7 9 -t -7J L _
APPLICANT'S NAME Last LA A0, Le,01LC First LI�NC
Applicant's Address Applicant's E-mail Address
City ( State i ZIp I Telephoned
ARCHITECT/DESIGNER'S NAME Last F First Lic. No. r
Architect/Designer's Address Architect/Designer's E-mail Address
City State ZipF_j Telephone—ll
ENGINEER'S NAME Last FirstLic.Lic No.F—
Engineer's Address Engineer's E-mail Address
City State F Zip I Telephoned—'
- — —
CONTRACTOR'S NAME/COMPANY Lic. No. �— Class
Contractor's Address Contractor's E-mail Address
City State E77 Zip Li Telephoned
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SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.�,•
USE ZONE DEVELOPMENT NO O • I PLAN CHECK FEES $