HomeMy WebLinkAboutX2021-0056 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
Comm'I r Residential City of Newport Beach - Building Division xLvL� ^ bad
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
r;Building r Grading rDrainage r Elec
Address
F7 Mech r Plum
r Flood r! Fire r Liq
7th Street, Newport Beach CA 92661
Cu Yd Cut F Cu Yd Fill F
F7 LaIlllllndslide rN/A Floor Suite No
New/Add SFF— Remodel SF Garage/New/Add
OWNER'S NAME Last ISacchi First
Use I Const Type F
# Storiesr # Units (if Res)[_
Valuation $ '..
Material/Lab CD '..
Owner's Address Owner's E-mail Address
760 S. Maple Fishyt@aol.com
City Montebello State CA Zip 90604 Telephone (323)728-7983
APPLICANT'S NAME Last
Applicant's Address
1. 11127 Gerber Ave
City Whittier State CA
First lMlchael
Applicant's E-mail Address
Fishccs@aol.com
Zip 90604 Telephone(562)941-4177
ARCHITECT/DESIGNER'S NAME Last F First F Lic. No.
Architect/Designer's Address
City State
Architect/Designees E-mail Address
Zip �— Telephone
ENGINEER'S NAME Last Chung First Pun Lic. No. 2766
Engineer's Address Engineer's E-mail Address
15820 Whittier Blvd Suite "H"
City Whittier State CA Zip 90603 Telephone (562)943-0847
CONTRACTOR'S NAME/COMPANY
Contractor's Address
City �— State
Lic No. F Class'
Contractor's E-mail Address
Zip Telephoned'
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. C)djF) —Z
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ o 01 S