HomeMy WebLinkAboutX2018-3209 - Permit Application (2)Worksheet for Combo Building &,Solar Permit Application
F- Comm'I Residential City of Newport Beach - Building Division x7.06 - 52
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
r Building r Grading F -Drainage [- Elec
e/ct Address
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of Work
F Mech r- Plum
F_ Flood I- Fire [
Cu Yd Cut1(,fS51,� Cu Yd Fill
F_ Landslide FN/A Floor
New/Add
SFI-- Garage/New/Add I 5V—
OWNER'S NAME Last 0EC1_First I PH/L
Owner's Address Owner's E-mail Address
Suite No
Use Fi2 ConstType v
# StonesFT # Units (if Res)T
1 26 q �- u al -ba-
C6_ P01ZT P 4(P State C("'qTelephone
Zip 9223 �—
ity fY
APPLICANT'S NAME Last I
Applicants Address
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Ciry I N&egT 1�H State o,
ARCHITECT/DESIGNER'S NAME Last FL I eT ff
Architect/Designees Address
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City I�iEwPfl� State �-
First I .,+ (, /
Applicants E-mail Address
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Zip 92600 Telephone 1?qj _05-1 -03g5-
FirstC [ { (Z (s Lic. No. z Z 3 3 /
Architect0esigner's E-mail Address
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Zip Telephone qyq_ 65-t- �3N5-
NAME Last First "I-
(�f OK Fi IA Q EZ Lic. No.1
Engineer's Address
31Gq5- S, PGI -f
City L,o C L t A OeACH State ImoL
Engineer's E-mail Address
C'�r9MSt. Cs�l
Zip g26 ( Telephone 949. (/cyg_ 6251-/
CONTRACTOR'SNAME/COMPANY Cft5 pVE9\ Lic. No. /ass!
Contractor's Address I T- _ Contractor's E-mail Address /
154(o S. PC l+ 2e)
City trZt/�eq (�eqCN State (��( Zip g26S I Telephone);""-'
SETBACKS REAR
SETBACKS LEFT
USE ZONE
SETBACKS FRONT
SETBACKS RIGHT
PERMIT NO.
PLAN CHECK NO.
DEVELOPMENT NO
Pti/ r O tAJ� // PLAN CHECK FEES $
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