HomeMy WebLinkAboutX2020-2456 - Permit ApplicationPrint FormWorksheet for Combo Building & Solar Permit Application °F�`�'°Rm
F_ Comm'I F_'Residential City of Newport Beach - Building Division o
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
(-Building F_ Grading
F -Drainage [ Elec r Mech F Plum CuvdCut F cuvdFill
Project Address (Not mailing address) [ Flood j— Fire r Liq j- Landslide rN/A Floor Suite No
Description of Work
Use Const Type F
4 Stories # Units (if Res)[
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®N F7�lia�� iZ1�- �El �� C014.75-
Rip e ge.1c.*N1F-s.
New/Add SFF- .
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Remodel SF F::�3--_ Garage/New/Add I O _
Valuation $
Material/Labor
OWNER'S NAME
LastFirst
,�c1�hSv�.t L Att RY,
Owner's Address
Owner's E-mail Address
I L 121 W t Lstt,\Z4Z_
SAe Lga¢'P_ tb�c_� ACoi7Sof1 C• wPAay , Co n
City I LA._
State I �4 Zip `10025 Telephone 3/a -g 9-C�goc
APPLICANT'S NAME
Last �prD� First Std
Applicant's Address
Applicant's E-mail Address
I90a S
SpAvr>Pgc0 O�Wcl A -2C. C41
City I Lbs.
State I �-{' Zip 9pp2T Telephone 3/6 (,,ZZ P f-5
ARCHITECT/DESIGNER'S NAME Last l.J i N�G�S First p . -,A '< Lic. No.
Architect/Designer's Address♦y
Architect/Designer'sAddress
1E--mail
/�
_190f% S LTIi1iY JAc. Jq, �iOO... pli.�IM�'F,Q1�%-V'�QI Arce-.GO-t
City I LA
State F4W_ Zip gbpp6 Telephone 316 826.2tor,
ENGINEER'S NAME
Last V R 2E bq. First � Lic. No.F_
Engineer's Address
Engineer's E-mail Address
(o�� Wpg�s; �...
glyp b,rRQelAe CtXi2tC
City FvIJF2C4-Fr
State FZ�_ Zip 90232 Telephone 3(p 31¢.6096
CONTRACTOR'S NAME/COMPANY Lic. No. F_ Class
Contractor's Address
Contractor's E-mail Address
City I
State F_ Zip F— Telephoned
SETBACKS REAR
SETBACKS FRONT PERMIT NO. \4LD LO — S J 6
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $