HomeMy WebLinkAboutX2018-0315 - Permit ApplicationC"4ti U n
Xtio -o��
Worksheet for Combo Building & Solar Pe it Application
City of Newport Beach - Building Division
( -Comm'[ �/�Residential G�roa s
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMI AL
ABuilding Grading
[Drainage A- ec �)Mech KPlurn cuvdcut 4�T' cuvdFill �Z yO
Project Address (Not mailing address) Flood r- Fire F- Liq r LLanjdslide r'N/A Floor Suite No
De►lsc``ripttio\n of Work
Use ConstT pe
# Stories #Units (if Res)
t.
�✓1,
✓��66
Valuation $
--
,-
New/Add SF
e90del SFS 7 Garage/New/Add �
I 2OU, OCO
Material/Labor i
GGG��1
`
JJ
OWNER'S NA
Last f v ?
O hers Ad s
Own rs E- ailAd esa
Ci
State Telep one _
APPLICANTsNAME
LastFirst
Applicants Address
Applicants E-mail Address
City t 1�^��
/� �j cam.
State Zip !%/ Telephone �.4 �� 1
ARCHITECT/DESIGNERS NAMENo. 3
tic. Last Fi tt
,mss- 6 b�
Architect/Designers Address
ArcFiitect/Designers E-mail Address -
City F=
State F Zip �— Telephone-- —
ENGINEER'S NAME
Last � Firstr—Y� Lic. No� 27. 3(c;
Engineers Address
Engineer's E-mail Address -
City J State V,J Zip .. Telephone—
D
CONTRACTOWS NAME/COMPANY LL Lic. No. 1(^j� ]63 �- - Class ,
�c✓'C�W\ ts��
Contractors Address
Contractors E-mail Address
tt
6S'
�%Av tb(, it�GUS l�M 1 dor'"
CityState
�� ( Zip Telephone
SETBACKS REAR
SETBACKS FRONT PERMIT NO.r%QI (Q� ,Z3 Z7
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. d SS ' Zok