HomeMy WebLinkAboutX2020-2462 - Permit ApplicationPrint FormWorksheet for Combo Building & Solar Permit Application
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�I- Comm'I FResidential City of Newport Beach - Building DivisionNOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL a
r- Building Grading
r -Drainage [Elec rMech F -Plum Cu Yd cut Cu Yd Fill
Project Address (Not mailing address) F_ Flood r Fire F_ Liq r Landslide FN/A Floor Suite No
ISwI MESA na�,4r
,
Description of Work
Use ConstType
oN $ A IIA, i2.4 t.Evkocc 9 C* 114-75.
# Stories # Units (if Res)r
New/Add SF �
Remodel SF � Garage/New/Add'
Valuation $q
Material/Labor f/()00
OWNER'S NAME
LastFirst �RaeY
Owner's Address
Owner's E-mail Address
(2 111 W (LStF�¢rt
S a t✓Z OG LAa¢� dU�� PCal7SoN c� PAHY . Co "t
City (_A
State -- Zip 90025 Telephone 31b -f4 9-i,ga
APPLICANT'S NAME
Last S ft17S7oc lC First
Applicant's Address
Applicant's E-mail Address
I90o
Sp,* a attL� mac/ A4zc. clrz
City I L05 /A-,yj
State I '--{' ZiP F 970o 1:5- Telephone 31D %,2Z S 4.51...
ARCHITECT/DESIGNER'S NAME Last N�F�S First p�T -�j _ Lic. No.
Archititect(Designeerr'sAddress
Architect/Designer'sAddress
y� 1_E--mail
I IAV S I�IF4ri 1 J/� 4Q Td�J �74�1N�F¢�l �Y/QI Arge—r-4--,
City I LA
State Z— ZiP5tezn Telephone 316 526.21oe,
ENGINEER'S NAME
Last V PrtZC 1q. First � Lic. No.F_
Engineer's Address
Engineer's E-mail Address
(a�"�- wps,+; .b...
Stro b�n+LelAe t.va2tc
City "_1_4; c Gf-f
State F"_Zip 90232 Telephone �a 3I¢ .00Fa
CONTRACTOR'S NAME/COMPANY Lic. No. F
Contractor's Address
Contractor's E-mail Address
City
State F_ Zip F— Telephone
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $