Loading...
HomeMy WebLinkAboutM2019-0070 - Permit Application/2019 0070 ( ir° ��.. .. t'nw.. 41,..., 5'd ".. .....=.. i r.°, • 2`=�F'3 "�Q�-1.. _4 �.t`;2 ,�, s^'SaW ..x ....�:KeY ...i� Worksheet for Combo Building & Solar Permit Application City of Newport Beach'7 Building Division' .; "CRl comm";Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUOIUBLI WORK 5 way' ,[Building rGrading r7Dramage [jElec rMech �IPlum r, cuvdc YAR'OFT-P,lT Project Address (Not mailing ad) rJ `Flood CI Fire f� Liq [''Landslide ❑N/A dress ZIDbT13aQ1�,o�_. VkI Jap, Description of Work U e n Const Type C # Stories #Units (if Res)n , ` ;New/Add' SFemodelSF[-1 Garage/New/Add Valuation $ Material%Labor �T�.. OWNER'S NAME Last 3u0,tia First �- Owners Address Owner s.E-mail,Address., . 'e- _ �) "City, ,State Zip. Telephone APPLICANT S NAME Last l LGd First Applicants AHdress Applicant's E-mail Address CityState ^ Zip q iTAS TelephoneY ARCHITECT/DESIGNER S NAME Las t1 Ti st Lic. No. `-ArchiteCt/D'esigner'sAddress- E-mailAddres`s� - I i ;City : 177State Zip `Telephone � 77] .s EF-777 NGINEER'S NAME Last J First F. Lic. No. Engineer's Address Engineers E-mai6Address City State i Zip Telephoned CQNTRACTOR'SNAME/COMPANY 41< Lic.No. p(�137)�.Class��r II Contractor's;Address C.opnttractor's E-mail Address �Sdbl S"F7.m4Au+c .l— f"�oQ1MicD�/}�1�a(.,1��(►r�% ('d 4N/ •..;:.State �1 t Zip._r Pi s, .,L_.�TelephoYne l "7L1,' A� j"`4,.. "SETBACKS REAR __ — --SETBACKS-FRONT ' - PERMIT N0.7 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO: USE ZONE ' DEVELOPMENT NO PLAN CHECK FEES $