HomeMy WebLinkAboutX2021-1467 - Permit ApplicationWor e t or Combo Building & Solar Permit Application 440,
City of Newport Beach - Building Division Xt �� _ 114 (7
F- Comm'[ eential OTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[-,Building F -Grading F -Drainage F_Elec rMech j -Plum Cu Yd Cutl Cu Yd Fill
Project Address (Not mailing address) F7 Flood j- Fire r Liq I Landslide F_N/A Floor Suite No
1 V�cR ��i V ��iV �. �% 6-k� - -
of Work
New/Add SF7— Remodel SF I Garage/New/Add I
OWNER'S NAME Last I H (D L_
Owner's Address
City- _ _ State TCEEi
First I ��_i
Owner's E-mail Address
Zip I q , 0153
APPLICANT'S NAME Last S� t �} First
Use \" o/Const Type
# Stories /.{- # Units (V
aboriy?v�i
�_0�_
Applicants Address Applicant's E-mail Address
I�341 L^NLID �t(�GUSSMI�\k� GOLD n/t�'
CitySState Zip - I' D� Telephone : i l( j q
Cid R �P - 4w�
ARCHITECT/DESIGNER'S NAME Last
First
Lic. No. I
Architect/Designer's Address Architect/Designer's E-mail Address
City State F— Zip [— Telephoned—_ -
ENGINEER'S NAME Last I � i t l
Engineer's Address
�* 45
City SRS i A. USN State CIN -
First ) 14 N
Engineer's E-mail Address
Lic. No. S`d„ 's
Zip I I �_7(].S- Telephone -7 )4 ba Del D
CONTRACTOR'S NAMEICOMPANYLic No. 3% 44 0 Class
il
lues � t"Ct-} C D iVS i
Contractor's Address _ Contractor's E-mail Address
S>-P-e—f -CL to &bs ! hO rn+ c� CDS dJt27_k
City State �' Zip l '704�;_ Telephoned', I q
SETBACKS REAR SETBACKS FRONT PERMIT NO. VC
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. -
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $