HomeMy WebLinkAboutX2020-2419 - Permit Application-rnrit Form Worksheet for Combo Building & Solar Permit Application @11401*1
r- Comm'I Q Residential City of Newport Beach -Building Division XZO,ZQ.�ylq:NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
(`Building rGrading 6ZDrainage D?Elec (-Mech 5? Plum CuvdCut r Cu Yd Fill
Project Address (Not mailing address) F_ Flood r Fire r Liq f- Landslide FN/A Floor Suite No
WAYSIDE
F_
Description of Work
Use Const Type �-
EXTEND ELECTRICAL FROM EXISTING PANEL TO BBQ AREA & PATIO
COVER. EXTEND GAS TO
rr
# Stories #Units (if Res)
BBQ & FIRE PIT. ADD & MODIFIY DRAINAGE. PROPOSED 280 SQ FT
OPEN LATTICE PATIO COVER
Valuation
Material/Labor
11
New/Add SF 280 Remodel SF �
Garage/New/Add r�
OWNER'S NAME Last IOLSON
First!VIRGINIA
Owner's Address
Owner's E-mail Address
WAYSIDE
City NEWPORT COAST State CA Zip 92657 Telephone
APPLICANT'S NAME Last PONES
First COLIN
Applicant's Address
Applicant's E-mail Address
1210 E. BARMHAM DR.
COLIN@WESTERNPAVERS.COM
City SAN MARCOS State CA
Zip 92078 Telephone 760-421-3352
ARCHITECT/DESIGNER'S NAME Last I
First �—Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City r® State F_
Zip F— Telephoned
ENGINEER'S NAME Last I� Sl ��
s� First; 1�Lic. No.�—
Engineer's Address
Engineer's E-mail Address
City State F_
Zip [_Telephoned
CONTRACTOR'S NAME/COMPANY ESTERN PAVERS
Lic. No. 592071 Class C12/C27
Contractor's Address
Contractor's E-mail Address
1210 E. BARHAM DR.
COLIN@WESTERNPAVERS.COM
City SAN MARCOS State CA
Zip2078 Telephone 800-779-8191
SETBACKS REAR SETBACKS FRONT ®S PERMIT NO.ZG
ETBACKS LEFT SETBACKS RIGHT
E ZONE QC. VDEVELOPMENT NO �7�U
PLAN CHECK NO. r`c3 j - ZSaZO
— I7J�JG(PLAN CHECK FEES $
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