HomeMy WebLinkAboutX2018-3334 - Permit ApplicationPrint Form 1Worksheet for Combo Building & Solar Permit Application
F Comm'In ` (J „ City of Newport Beach - Building Division i1595y'Co/ 8
J MOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL X01 ?„333 e.”
W Building r Grading F -Drainage F— Elec F_ Mech r Plum Cu Yd Cut Cu Yd rill F
Project Address �(Not mailing address) r Flood r- Fire F-'• Liq F— Landslide FN/A Floor Suite No
2230 I li/���K/I InIVAi.�n I I o
of Work
New/Add SFF — Remodel SF /3'? Garage/New/Add r---.--
OWNER'S NAME Last I NP
Use I13 Const TypeF13
# Storiesl3 # Units (if Res
IV/CLC. First G/0611116.(.1"
Owner's Address Owner's E-mail Address
22tUOV .61ucaS/@_bi i��UO�oup • can
city &0State r � � zip 92TelephonerWW5 �27
abor Zdp
APPLICANT'S NAME Last I eoarl F r A.ez
Applicant's Address f �/I
U -W hl0k. SUy & /05 F23-;
City I WWO, State C�
ARCHITECT/DESIGNER'S NAME Last
Architect/Designees Address
Ic O W. Ro -hifl Pkvv . )a6 /05 #,z*3
City as State CI
First)
Applicant's E-mail Address
OINrPrI @app,5 Psi` o,!/
//,
Zip / Telephone 9Pq,2a3 M0
First Lic. No. 1 35-]8
Architect/Designees E-mail Address
SP0173/9yahoo. cam,
Zip 062 TelephoneF7&02 400
ENGINEER'S NAME Last c ukliiJ First rQ Lic No.5038
Engineer's Address
1798/_ k� p�� �l2Gll° lie
City State FM
Engineer's E-mail Address
PS4)e4&@ jdtSiy' 4 Ct�-W2?
Zip 9aW/ Telephone q��_-7�70
CONTRACTOR'S NAME/COMPANY POC V2WW Ot U-� Lic. No. M57 ClassF
Contractor's Address
0/0 S. affia� 6671 �G
City mita opa State ICT—
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USE ZONE
Contractor's E-mail Address
Zip a705 Telephone 7 l/ 15-aO5
PERMIT NO.ZD vo � 5N
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rPLAN CHECK NO. 2Z5�J - 7jQ
DEVELOPMENT NO 'Z7C) t V -C)1-7t)__ PLAN CHECK FEES $