HomeMy WebLinkAboutX2019-2755 - Permit Application1Ae,
Worksheet for Combo Building & Solar Permit Application�� °
I— Comm'Ij Residential q MCity of Newport Beach - Building Division a
J iq %7ffNOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL/957-20/9 `'•�a^"
XBuilding Grading Drainage �AElec (xMech �_ Plum . Cuydcut Cu Yd Fill
Project Address (Not mailing address) F_ Flood F- Fire F7 Liq F_ Landslide [N/A Floor Suite No
—'
q'2 46
Description of Work
Use Const Type �
# Stonesw, # Units (if Res)[7
Valuation r�
Material/Labor_ w\,3 V �
F,
New/Add SF ' Q F � Remodel SF Garage/New/Add �
(
OWNER'S NAME Last VV t._l �a t ti First
Owner's Address Owner's E-mail Address
ck) Loo Oh
CityNCaas'� State Zip I qW V 5-7, ITelephone q ( ,,j a/ y' ' �I
APPLICANT'S NAME Last I First 8evs
Applicant's Address Applicant's E ail 6ddress Aj
Ci -�, State Zip �� Telephone �g�L�'�j_.-1�,`jy
�'i e -
ARCHITECT/DESIGNER'S NAME Last First Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
/
rlJ C -- 'r _ ,C,..._._.
City �— State f _--. Zip F Telephoned
ENGINEER'S NAME Last First` Lic.No.5_pF364
Engineer's Address Engineer's E-mail Address
Cih-YV State F047 ZiP 7?,6 93 Tele hone'7�906_5S37
CONTRACTOR'S NAME/COMPANY %i�nC Class
18t_ C �F
Contractor's Address Contractor's E-mail Address
%%rea
City State Zipce �� Telephone 7 ��
-rvl i -- -- - _- I
SETBACKS REAR SETBACKS FRONT PERMIT NO. no
CHECK NO.
SETBACKS LEFT SETBACKS RIGHT PLAN
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $