HomeMy WebLinkAboutX2019-2452 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
F Comm'I j Residential City of Newport Beach - Building Division
NOTE' PLAN CHFcI< FFR; nI IF AT TIMP nP RI IRAAITTni
f—Building r—GradingI—Drainage FElec r—MachFplum
cuvdCut Cu Yd Nil
Project Address (Not mailing address) F Flood
r Fire i" Liq r" Landslide r N/A Floor Suite No
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Description of Work
Use F_ Const Type F;
# Storiesr—�. # Units (if':.Res)l—,'..
/s3
Cq
Valuation$.
Material/Labor 2*
.
New/Add SFI—� Remodel SF W' Garage/New/Add
OWNER'S NAME Last
�Lc, First
Owner's Address -
Owner's E-mail Address
City -,c�" State 2�/_
Zip r.? �,aEa, Telephonel
APPLICANT'S NAME����
Last cdSSv
First ����
Applicants Address
Applicant's E-mail Address
City <� , !/% State —'
� Zip
F—,) z:-, Telephone :!=, n t`
ARCHITECT/DESIGNER'S NAME Last
First -
Lic. No.
ArchitecUDesigner's Address
Architect/Designers E-mail Address
City �— State r Zip I TelephoneF�
ENGINEER'S NAME Last
First ? Lic. No.E .; 11�2-70S
Engineer's Address
Engineer's E-mail Address
17Yrt i; ��f �l a 'rjA? 7
�—
City � -State e y Zip C} �. i� . Telephone V,,,(,) —,}q
CONTRACTOR'S NAME/COMPANY j� `7
I L.�t�s J��✓a���o...�
i isF-_
G>r+-�� Lic. No. W A` /$Il,. class_
j. 5���,
Contractor's Address�t
Contractor's E-mail Address
1.�'�iS,�J.r��'.,
.(750
state eA.._ Zlp
F`i. Telephonel (,,,) t) tl°f '—els()
SETBACKS REAR SETBACKS FRONT
PERMIT NO. X C��J�_ t" — Z 4 J
SETBACKS. LEFT - SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $