HomeMy WebLinkAboutX2020-2455 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
F Comm'I F_ Residential City of Newport Beach - Building Division 14
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL oar"
F -Building rGrading
F -Drainage rElec r"Mech F- plum cuvdCut F cuvdFill
Project Address (Not mailing address) r Flood r` Fire j— Liq r Landslide [_N/A Floor Suite No
F
154A Mc sa_ ;��
,
Description of Work
Use F— Const Type F_
®N $,l �d:�F,20
(1F+Ap'--C 5 414-77.
# StoriesF' # Units (if Res)
_
New/Add SF�
Remodel SF I 't-� - Garage/New/Add 41 —'
ValuationaerilLabor
Material/Labor �
OWNER'S NAME
Last i;rFirst
Owner's Address
Owner's E-mail Address
M121 WILSN,
5...AQ G LpagqZfiM�jPcobso�c�wPpa7•_coK
City I LA
State l y" Zip 90025 Telephone 3/0-g 9 -qac
APPLICANT'S NAME
Last ptD First S' - � e.
Applicant's Address
Applicant's E-mail Address
I'too ef-or
l) SpnvPPo4LC mei ,42c. eaa
City /-t,.5 A45a( ,
State ' r Zip �%Oo2S- Telephone 3/0 lo2Z � / 5J
ARCHITECT/DESIGNER'S NAME Last I W First p;;;�dL Lic. No.
Architect/Designer's Address
Architect/Designees E-mail Address
City I LA
State I „ Zip g662O Telephone 3(G S26. 2too
ENGINEER'S NAME
Last V R �Zc k First Lic. No.F_
Engineer's Address
Engineer's E-mail Address
(6�� whSrF: -6...
SLvo b�RR.¢lac' t�2tt
J
City (��y�Z� f�
State R Zip 4D232 Telephone 3b -31f .6046
CONTRACTOR'S NAME/COMPANY Lic. No. F Class
Contractor's Address
Contractor's E-mail Address
City
State F_ Zip F Telephoned
SETBACKS REAR
SETBACKS FRONT PERMIT NO. )01/0 �7
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECKjN`O.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $