HomeMy WebLinkAboutX2018-3265 - Permit Application2� Worksheet for Combo Building & Solar Permit A3 Iicatj
now CJComm'I ❑ResidentialCit of New ort Beach - Buildin DivisionE NOTPLAN-CHECK..FEES DUE AT TIME OF. SUBMI AL .-
[-'Building FGrading [Drainage CElec [7Mech Plum CuvdCut � Cu Yd Fill
Project Address (Not mailing address) [7 Flood ❑ Fire ❑ Liq ❑ Landslide EN/A Floor Suite No
Description of Work 9'7Use
e Const Type
47 r -r
# Stories❑ # Units (if Res)❑
Valuation $ �y
Material/Labor 3 r701
G�—�
New/Add SF�) Remodel SF Garage/New/Add
OWNER'S NAME Last eQbd^lc,_.,C, First. 4ei00Q &TIU
Owners Address Owner's E-mail Address.'
ocelcelno 1.eq/"P9�a,.1i:.�,.b:;6'b'B
A
City AeU:bi2_rE�1l5PC,#- :State LZip 6 TelephoneI('"74
APPLICANT'S NAME Last First [_ -A dj 7) %, PFrf
,Applicant's Address Applicant's E-mail Address
d�
/a�,g/Le.rvlc�ra `cae f
CdY �it3t.6'�.�$Cd-�f. State �r'�- Zip- '7�%�13� Telephone'...®ar3%'� 1 ts�
ARCHITECT/DESIGNER'S NAME Last%� pa CC�
= First ���-�� Lic. No.
Architect/Designer's Address , Architect/Designer's E-mail Address
_®
'City rQ�IIA.r State, Zip �,:�(py®' Telephone 7(jc
ENGINEER'S NAME Last First L Lic. No.e
Engineer's Address :Engineer's E-mail Address
.City State �� Zip C- Telephone—
CONTRACTOR'S NAME/COMPANY J� � w Lic. No. 5 j' Class
Contractors Address Contractor's. E-mail Address
- l-ilSnrCE2 • CGty►
City -A—Ge� _. �� Sate �' �. Zip Telephone��)(,
SETBACKS REAR SETBACKS FRONT PERMIT NO. '.r;?�+� lt'� -- S
- 7
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 11 - (y)
USE ZONE DEVELOPMENT NO � -�O 7 -i •AiL PLAN -CHECK FEES $