Loading...
HomeMy WebLinkAboutX2017-3997 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application a `"`° e Comm'I Residential City of Newport Beach - Building Division F NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL .o )<Buildingj Grading' �rainage F_Elec rMech rPlum Cu rd Cut. Cu Yd Fill Project Address (Not mailing address) F- Flood F_ Fire XLiq r Landslide F -N/A Floor Suite No �z _ c3 Jt/ GrJ' R T_ 13 AG -H �- F Description of Work Use f- m Const Type # Stories) .{ # Units (if Res) F$... .J Valuation' / Material/Labor `76Y_j - New/Add SFF3_SF �— Garage/New/Add %JPO OWNER'S NAME Last First N7� %SLC Owner's Address - Owner's E-mail Address �J� L"rJ�O'DOU1 %G f%L 4,4x_,�Oa,EGJ61p,+7Te'iLI.jjJCW-ra/ri,1bm6P, City /676.J p OA -7 &�, Jybtate -' ZiP �2,&GL7 Telephone �'y APPLICANT'S NAME Last C_ A First x57 Applicant's Address Applicant's E-mail Address City �� State �- Zip �Z�� Telephone 7f��2Sy©Yj ARCHITECT/DESIGNER'S NAME Last �C�s� t First / 1, Lic. No./77 y(_ l" Architect/Designer's Address Architect/Designer's E-mail Address City F .State F Zip Telephoner ENGINEER'S NAME Last %L/ Aj First / J¢m/`� Li2c.No.Q Engineer's Address S m IA.)e_ Engineer's E-mail Address �J V � v v CAI7 / 6)4 h fr VAJr7 0 A 4 rn VA "Vt E-J-IFM 51 ,CO /71 city SA tir.�141,✓* State I ' Zip f`2'7ls/ Telephone 7/q-'7Ss-'27D6 CONTRACTOR'S NAME/COMPANY -r 7e- J eA_,' G'f Ll o-07 Lic. No. �— ClassF / / Contractor's Address Contractor's E-mail Address City F__ State Zip Telephone- SETBACKS REAR �� SETBACKS FRONT a + PERMIT NO. SETBACKS LEFT t SETBACKS RIGHT PLAN CHECK NO.1'7 x2017- _�--Pq7 Worksheet for Combo Building & Solar Permit Application ' City of Newport Beach - Building Division j Comm'[ Residential K,nTF. o, M RHFCK FFrR DUE AT TIME OF SUBMITTAL Building ( Grading -4rainage rElec f-Mech F_ Plum Cu Yd CutF Cu Yd Fill Project Address (Not mailing address) F_ Flood F_ FireLiq Landslide f N/A Floor Suite No �- F_- Description of Work Use��i (.j Const Type Fvlv v L 6'j 14 # Stories'r 7 If L3#Units (if Res) Valuation $ I / / W_ New/AddSFI ?,_�I LLJ�i-Remodel SFF— Garage/New/Add ��0 Mat-ial/Laborl `7Dar7 OWNER'S NAME last p/j7-7-��fU� First JZLcJ Owner's Address Owner's E-mail Address vJTdr,/-LlojtJ; City /&� o!J-7 iJ�;gG:.//State( VT ZiP 5Z(iGU TelephoneT/%7y-/0� APPLICANT'S NAME Last ��� First Applicant's Address Applicant's E-mail Address 1 6,, 36-� 64-r-m&y 1� /G/-1zJ-N12f /X�Tc/��si�-y� S3 M �Z 11,,k)City T State f Zip . 0.�7 Telephone 7/q- 2 ARCHITECT/DESIGNER'S NAME Last t S� (� First fJ' l L (� Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address (City _ State Zip F— Telephoner— ENGINEER'S NAME Last �) 1a/Z First k// Yr,� Lic No.F_-- Engineer's Address �`S L Engineer's E-mail Address 16-1 k - y x,11/?A ry � &.f-/F'nA E, co rn City S� �JT.9-,/-�N,.� State �— Zip y2701 Telephone 7/`f -,FF S-2�Q6 CONTRACTOR'S NAME/COMPANY �� 7 jL h fctl� %jTo�7 /�[%� f Lic No. F— Class F_ Contractor's Address / Contractor's E-mail Address I City F_ State F-- Zip — Telephonei SETBACKS REAR rj SETBACKS FRONT a r PERMIT NO. /r4A l� • 7el 01 SETBACKS LEFT `3 l SETBACKS RIGHT PLAN CHECK NO. q)0N!-20i_ t I OSE ZONE -1!,J 2, DEVELOPMI=NT NO PLAN CHECK FEES $