HomeMy WebLinkAboutX2019-0561 - Permit Applicationot4oim24dq x)odq -o5-co
`,Print Form "'� Worksheet for Combo Building & Solar Permit Applica ' ®req-,�,-j
Comm'I r Residential City of Newport Beach - Building DivisionNOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
wilding F_GradingDrainage fYElec I';Meth
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Project Address (Not mailing address) F_Flood (! Fire r Liq F-, Landslide FN/A Floor Suite No
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Description of Work
Use Const Type / -A
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# Stories /p # Units (if Res);
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RP-srROaMs. UPGiRA-DEs To UCjtM^f P ,?A181NG1 /FOD Ff),hSkEg. No H01C.
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Valuation $
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New/Add SF 7I Remodel SF Garage/New/Add
Material/Labor
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OWNER'S NAME Last 7-15 124?
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First
..C{r�MA+�i
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Owner's Address MGCjcri-r1+y 6mr-
Owners E-mail Address
13101 -ZVE ST. So n 550 _
CAT MCGRreTNy�CrolG.co�"1
City tjEWP0AT g6AC.H. _ State C1F
Zip 9Z(o6U Telephone `y 49 Zh2-�SYL/
APPLICANT'S NAME Last I Np.,,�-ftaurt
First I Tzpp
Applicant's Address ff• HENfl 0c(AT6$
Applicant's E-mail Address
({770 6*MPv30V•11 SO M /RD
'TUA1LRtJIsH1 GJ {�It�NDy (oM
City IVP;WQ644- 6f Are --.- State
Zip ..- L�"Z,fp(p0.. Telephone �-3os0 ----
ARCHITECT/DESIGNER'S NAME Last DWYe1y
First$JS(twl Lic.No. 5372
Architect/Designees Address H. 1-E UUk'rE5
Architect/Designer's E-mail Address
N77o ('f4MPU5 ba- SJ I rE fooS9w
yap fFHBNDy. Co
City opvo,000-7- BEAGff State ,CA-
Zip 'ZWbO_- Telephone`pgp�$s/-qow-_
ENGINEER'S NAME Last ?rp,aA E'/AJ First 6,cJ Lit No. e/y7go
�61!16/g 4rtf /TWA).
Engineer's Address f`A3c4E QI(LpfS 9 /}55tLrgrFs JL•
Engineer's E-mail Address
5Y&O 7ieA6V" Zbl SotrFivo
BtpIj PaA-FN)CM.CeAlgWq)g52.-1Y9/
City 11W1.Ja State CA.
ZIP 9Z62o- Telephone
CONTRACTOR'S NAME/COMPANY /Y � Lic.No. `15�tJAClassl )�
l- (42�
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Contractor's Address
Contractor's E-mail Address
La
Lp Do 5 L s iL v 4. l b c
- O S -P C i-(2 W b w. 1 C )
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City �G`.y� �(_.>? .-- State
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Zip
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SETBACKS REAR SETBACKS FRONT
PERMIT NO. Y, 7_0 I e( ^' Q SG I
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. OqO - 7,01
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $