HomeMy WebLinkAboutX2017-3991 - Permit Applicatione 6-a&
,280.2 -2017 )x017- 3gig1
Worksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division ,�(�
Comm'[ Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
9$uilding F Grading F -Drainage ;Flet (- ech
F-y1r6m Cu Yd Cut Cu yd Fill F
Project Address (Not mailing address) F7 Flood
F- Fire F_ Liq r Landslide f,_eN/A Floor Suite No
- I F—
C-
SA-NDY c ave-
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Description of Work �bCP-.ijecx�--
Description
2ij� -3 Const Type V-izq
# Stories #Units (if Res)
SIN6LF FANILY RESiDWirAt- DFL_ GoNSiSRMB cc "E5f SUITE
ADDIT/DN, DECK �XPF4{JSt�AI y1tt,1D o`�p�R
LIVrN6 lnrT€G/�/r�[aN
Valuation $ 3 co tv-)
Material/Labor
New/Add SF F H 3$ Remodel SF 2'L Garage/New/Add r —
OWNER'S NAME Last I Big1jVKCPo
First I SCOT -r
Owner's Address
Owner's E-mail Address
/ p
Z.IS STbN& Ow^yy l COU�t
6iAE�r _ $c V/T"l= M411. i0/M1\
City I Hot- wtf � State I OH
Zip '13528 Telephonely/7.376-9-536
APPLICANT'S NAME Last Gph(ZAL.EZ
First) /A\ CHH -EL -
Applicant's Address
Applicant's E-mail Address
3\`(s RSD 6ilLl UES Lpj% F
My�onaa��2[��rbaree.�r�a-eor
City COSTA AFrA State 5
Zip .-j2.6Z6 Telephone 7/y-
ARCHITECT/DESIGNER'S NAME Last InJ EIF
Fust p, IGH k R D Lic. No. C-2� 299 L1
Architect/Designers Address
Architect/Designers E-mail Address
3\95 liED 1'tlt-1, PNtNuC � LoFT F
rici+ard @ urlow.wo.a`.ce.r
City ccs-rA 1AESA. State I CA
ZiP `%2.626 Telephone ��/1`i-75-1-t-IS6O
ENGINEER'S NAME Last GHRig-rlA-t.! First Lic. No. T7p9--
Engineer's Address
Engineer's E-mail Address
1?`]`/ Wa-r &AT-, j_LA AVFAA/t-_,SViTE1d7
City 084966 State eA
r— —
Zip � g2$67 Telephonel"7/r'1I 'T'?%-//NS�
CONTRACTOR'S NAME/COMPANY MILHAEL L-UCARISLLp Lic. No. IK73go8 Class G
Contractors Address
Contractor's E-mail Address -
`32-1 S CA," r,) t. C,%p I j-hw,, 1-e A 3W 3
i w z cMae 1 @ Ivu o iv.c. c ov
City Sj _U, 4tj C -Y -a State (
Zip ?4 Telephonel`iNi 'L2Z3
SETBACKS REAR l SETBACKS FRONT
t PERMIT NO. )4P l'1 •-St'9
SETBACKS LEFT 0— SETBACKS RIGHT V
ISE ZONE
DEVELOPMENT NO
PLAN CHECK NO. Za 1_1
PLAN CHECK FEES $ Zeta 1.^�2