HomeMy WebLinkAboutX2015-0829 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application Ok9` oP°Rei
F- Cornm'I Residential City of Newport Bea64-49.ch - Building Division f
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
lv,Building f -Grading F-LDrainage J)eElec P?Mech '.Plum cu Yd cutl Cu Yd Filll (�
Project Address (Not mailing address) j Flood [ Fire f-, Liq (- Landslide N/A Floor Suite No
Description of Work Use Const Type I 7
/PEC6tiG/7%®�✓ EX�S7/N� ON6GEYEZ f/D.dt{(PEg(a�A ti1/�/����-
# Stories' # Units (if Res)L 1
AY+o/1v67- ;2773,-S)- NEW L![iNG-�ieE�9Z OWIXIrv6- �dJFOF
Valuation $
New/Add SF f27?sr Remodel SF 2�%!0/ 1 Garage/New/Add �jOSPI Material/Labor
OWNER'S NAME Last First
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Owner's Address Owner's E-mail Address _
ragev@ v. erL hu9hes , cor-t-,-- -
city CDIi�N/t�1e�. � I State —� Zip�1?24,p �� Telephoned ..,72L-,
APPLICANT'S NAME Last [ /2'T//V - -- FirstLT
Applicant's Address Applicant's E-mail Address
scot art..+taa c/hl . ca—w_�
City -_ State CC�--J Zip
Telephone[?? .
ARCHITECT/DESIGNER'SNAMEv Last First ry 7co —1 Lic. No. t; $ S
Architect///Designer's Address Architect/Designer's E-mail Address
-3�cP /l�A JQB/H(-�h/!�e fCo�lNtA l_h81rGUtlia° C-6 YC
City CW"Ov Q'r 8CAtH. _7 State I-��- Zip 12 G� of Telephone 9
ENGINEER'S NAME Last �/j//JE/Q 0AI - _ _.I First �fl j/C_ l Lic. No. C Stmyo
Engineer's Address Engineers E-mail Address
- 2`Y352 �Prre��% .lP--- -- --�{ha ec-.net10
city �.¢�Gru� HILLS C'fj p 2 5 Telepnen 9y9 SS / 2
---- _ State J Zi �(� ._>._- ��_..' 9
CONTRACTOR'S NAME/COMPANY % I Lic. NgRj Class
Contractor's Address Contractor's E-mail Address
------------------- -- -- -
city CU/�j„(, f ✓ State C Zip F Telephone
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. Olo3l 'JpL
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $