HomeMy WebLinkAboutPV2019-034 - Permit Applicationork�he
�,, et or Combo Building & Solar Permit Application
Ilf�Dl C �q City of Newport Beach -Building Division
r Comm'I (✓ResidentialNOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL F_
Mech r'Plum Cu Yd CuvdFll
'Grading r'Drainage [-, Elec I— II
Building I- rN/A Floor Suite
Project Address (Not mailing address) �' Flood ( Fire (' Liq Landslide
Z�U J^Y"` Rd, C De,F >M CA gy�zs �._____..__�
Use �_', Const Type S6�n
Description of Work
So `�� p� �j 9 6 . 9 S # StoriesF; # Units (if Res)
�xl woo "" j' _ Valuation S 3 �) 0C96
New/AddSF�---__�JJ�—
': RemodelSF,
Garage/New/Add--_.—_--'_. MatenaI/Labor
First ? Ql.r e
OWNER'S NAME Last q 4,a
Owner's E-mail Address
Owner's Address -
2(e6 fid• *9 CAAAYWL .Dr
/I Cyt -..� state C {E zip 9 24 25 Telephone l4I y 12_
City (_pdLVb.. 3.._Y'�` _.
First -�5Qbvt'l
APPLICANT'S NAME Last �—J
Applicant's E-mail Address
Applicant's Address
L n-. State �— zip 5202 Telephone qy4 32o-31re2
City (og' 1. M 4x-
' First F�-' Lic. No.
ARCHITECT/DESIGNER'S NAME Last
Architect/Designer's E-mail Address
Architect/Designer's Address
State �� Zip j — Telephone
city
A
p�Lic. No. � �`'� � �
ENGINEER'S NAME Last V (kc i -{ A,;s 0 GioUre� First
Engineer's E-mail Address —
Engineer s Address
(75 �•_In�ilb d. 7 /D3_
pp�� � a (Q 0 Telephone $05 1410 2/vo
City M V �S State I _ .. _ Zip / 3
-/ Lic.No. 10292!07 Class Gt(bt8
CONTRACTOR'S NAME/COMPANY���
Contractor's E-mail Address
Contractor's Address
"�'�' I /�} Zip �LCeZ7 Telephone .1021 `f��� 3y33
/' State 1 '� .' 1—
City I.,OS� ��`
rACKS REAR SETBACKS FRONT —
PERMIT NO. 1 rel
ACKS LEFT SETBACKS RIGHT _PLAN CHECK NOZONE
DEVELOPMENT NO PLAN CHECK FEES $