HomeMy WebLinkAboutX2020-2751 - Permit ApplicationWorksheet for Combo Building &'Solar Permit Application ops
City of Newport Beach - Building Division I o
3esidentiat XZo to Z1S NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL G Wa^J
Grading F -Drainage ' F- Elec j- Mech F- Plum Cu Yd cut Cu Yd Fin
dress (Not mailing address) Flood r Fire j- Liq j Landslide F -N/A Floor Suite No
�—
f Work Use f Const Type �—
�/ t
# Stories # Units (if Res)j
Valuation $
Remodel SF�— GarageMew/Add Material/Labor[j.)� C1C?
LaSf- t�hR IS%�r First
s,- - - Owner's E-mail Address
State, Zip F—Telephoner
NIE.! Last , h First 2 t C
s. Applicants E-mail Address
i State CA Zip ? g -(a (r Telephone
J
iIGNER`5 NAME Last t' First Lic. No.
sr svAddress Architect/Designer's E-mail Address
I
State i Zip F— Telephoner
ME Last I First Lia NoT '
s Engineer's E-mail Address
State Zip Telephoned
'71
NAME/COI ILMPANY Lia No. 39��Z Class
ass Contractor's E-mail Address
�s16Cg(d/J,4
syn State F �! q. Zip 2 g-6,' Telephoner. 3 C/
SETBACKS FRONT 2a S� o��� PERMIT NO. L`✓20 2
SETBACKS RIGHT 6 c" PLAN CHECK N6. ' L�?
DEVELORMENT NO �LAIV CHECK'FEES $