HomeMy WebLinkAboutX2018-0215 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
F- Comm'I Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding j Grading
rDrainageElec F_Mech F_Plum CuvdCut r— Cu Yd Fill!
Project Address (Not mailing( address) C Flood j- Fire 4iq F- Landslide r7N/A Floor Suite No
50
Description of Work
Use F Const Type
# Stories # Units (if Res)F—
STc 5p__�( F
t �^ft 2tt L wz� G
Valuation
Material/tabor
r--
New/AddSF�
RemodelSF—�C Oarage/New/Add—
Do 0
OWNER'S NAME
Last �� lL�gi.�7t Ci�I.�rstJ Ter
'Owner's Address
Owner's E-mail Address _
I
City
State Zip F— TelephoneF—
APPLICANT'S NAME
Last yi2S L� First�jw
Applicants Address
Applicant's E-mail Address
4-95-} NAAira
S"i
City State Zip i� Telephone; (4 '7�
�daeyA �l N�'�
_
ARCHITECT/DESIGNER'S NAME Last First Lic. No. 1
ArchitectlDesigners Address Architect(Designers E-mail Address
City
State F Zip F— Telephone—
ENGINEER'S NAME
Last l First I Lic. No.
Engineer's Address f5*AMI✓ WS A�'I_t CAr,�TS Engineers E-mail Address
City
ty State Zip �� Telephone��
LC)Lic. No. I g6 3Classl -
CONTRACTOR'S NAME/COMPANY
� � � LYLL LV} fcnJS i 2 lGT
L W (_
Contractors Address
Contractor'sE-mail Address
2 S '� 1ilCsUS'(�(
11
CJ1112�t'��c�'��1 200 OO Core
---CityGAZIq. -. ---State 1 C� zip �j2(oTelephonet_q 5 -ZS 1-5 -
SETBACKS REAR
SETBACKS FRONT PERMIT NO. C7i� \ �j =0
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. 1 6 S Zd
FEES 0C J O r Ci I_
USEZONE
DEVELOPMENTNO PLAN CHEEK