HomeMy WebLinkAboutX2020-2457 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
awF_Comm'I Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
F- Building r -Grading
rDrainage [Elec FMech F-PlumCuvdcutF CuvdFill
Project Address (Not mailing address) F_ Flood r Fire r- Liq r Landslide FN/A Floor Suite No
F F
1501 Mit 55A ;.,�.
Description of Work
Use Const Type
®N $tel �d.�� �(o
,
fZWLOCC"1 c,14.7>-
# Stories # Units (if Res)F
gA.I,oil Fys.
_
New/Add SFr p .
Remodel SF Garage/New/Add F_ o - —'
Valuation $
Material/Labor I C)10 o
OWNER'S NAME
Last First
Owner's Address
Owner's E-mail Address
1211-1 L0 I LS,0,V-4Z_
S�Ae 0G Lara¢ dtA�� ACobSoiJ c>. Ppa7 . C� h
CityA
�.
State �— Zip 90025 Telephone 31b'g4 9-&96e
APPLICANT'S NAME
Last '�ptD j�� First I S'-Mje
Applicant's Address
Applicant's E-mail Address
I9oa S Ba..o7
tDa-kd1. 400 sp 4�� mac/ ,42c. cp-1
City Lbrj
State F Zip 9002T Telephone 310 (p2Z � X51
ARCHITECT/DESIGNER'S NAME Last �H�F�S FirstP4;�e_ Lic. No.
Architect/Designees Address
Architect/Designer's E-mail Address
1900 s B,�Orf Ln �e +'4ao pwr_4gftgr*0gj kac .cos
City I LA
State�— Zip °jba2a Telephone 316 826. 2ioG
ENGINEER'S NAME
Last V R tzc k First �— Lic. No.�
Engineer's Address
Engineer's E-mail Address
(c�� w/+Sc�: .6..
SG�D b�rRQ¢laC'. tsbatt
City (1+L�Gf7,
State Zip 9D232 Telephone 31p 3I¢ po¢o
CONTRACTOR'S NAME/COMPANY Lic. No. Class
Contractor's Address
Contractor's E-mail Address
City
State F_ Zip F Telephoned
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $