HomeMy WebLinkAboutX2015-3751 - Permit Applicationr worlcsneet Tor uomoo Building & Solar Permit Applicatio
Comm'I ','jL Residential 7c -..l City of Newport Beach - Building Division ) l ;i I,Yi,,1C
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
P11,
Building Fµ Grading [-Drainage r- Elec F_ Mech
Project Address (Not mailing address) F Flood
Y527 AOY-b"ry
Description of Work
f— Plum CU Yd Cut Cu Yd Fill Fj 11
F_ Fire FLiq F_ Landslide FN/A Floor Suite No
New/AddSFi Remodel SF.. �/A Garage/New/Add Z -/L/
OWNER'S NAME
Owners Address
City 1 ��
APPLICANT'S NAME
Applicant's Address
Last 'k%l i•ri First
Owner's E-mail Address
Use / - 3 Const Type___
ypeU/3 5 _A,
# Stories[ 2- j # Units (if Res)
Valuation $
Material/Labor
State F_ Zip [_�', Telephone
Last Z, 1,
City — State F_
ARCHITECT/DESIGNER'S NAME Last
1 Lu..l.t
Architect/Designer's Address
�29oe sem/
r_�
City j L',2SM McSi'- State
ENGINEER'S NAME Last] De -/ h;,)
Engineer's Address
r____ 7�
City i L",uol+. .._. State__ -
CONTRACTOR'S NAME/COMPANY
Contractor's Address
i 3 501 zawtbQrc{ Rc)
City
SETBACKS REAR
SETBACKS LEFT
First 1
Applicant's E-mail Address
Zip [— 7elephone[�
First Lic No. C 22 it, 2:
Architect/Designer's E-mail Address
ssff
ZiPLGI L�ZG�.._.. Telephone[ f Q7 57CD1
First I /qiM 1T Lic. No: C 7
Engineer's E-mail Address
Zip.. 92L,S Telephone yi 9sy 7� y
,S,, hAr✓ e 5 ', Kc
State e A
SETBACKS FRONT
SETBACKS RIGHT
Lic No.I a �ai� Class
Contractor's E-mail Address
Fip/er'1`i i SChQMP) tJU�IdPA•�o"
Zip Telephone � (i l- 7(%34)) tt
PERMIT NO.
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $