HomeMy WebLinkAboutX2016-1865 - Permit Application (2)fir'N Wheet for Combo Building & Solar Permit Application
Comm'I Residential City of Newport Beach - Building Division
NQTE`.�RL.AN Cyt rK FEES -WR AT TIME OF SUBMITTAL
[]Building E] Grading
Drainage Ile ch um Cu Yd Cut Cu Yd Fill
Project Address (Not mailing a dressFlood Ej Fire ❑ Liq � Landslide X/A Floor Suite No
1' V fpl�/
Al! l YG. l00
Description of Work
Use L7 Const Type
# Stories # Units (if Res)71
Re-^
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)�
4\ L
New/AddSFI (U
RemodelSF'i' Garage/New/Addl /(//f�
Valuation $�
Material/tabor
it
OWNER'S NAME
Last /CW First
Owner's Address
i Owner's E-mail Address i l�'" I• l
City
Gl� State e. _ Zip �y Telep one O
APPLICANTS NAME
Last First
Applicant's Address
Applicant's E-mail Address -.
City
State Zipoa
ITECT/DESIGNER'S NAME Last First Lic. No.
Architect/Designe ass
Architect/Designers E-mail Address
City
Zip Telephoned
INEER'S NAME
Last First Lic. No.11j
Engineer's Ad
Engineer's E-mail Address
City
tate F Zip Telephoned;
TRACTOR'S NAME/COMPANY Lic. No. �! Class L'
Contractor's A ttr s
Contractor's E-mail Address
i
City
!, Sta �I Zip I,, Telephoned
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $