HomeMy WebLinkAboutX2020-0003 - Permit Application❑) Comm'I ❑ Residential
for Combo Building & Solar Permit Application 04-1,
City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
❑Building ❑ Grading [�5Dearnage ❑ Elec ❑ Mech ❑ Plum Cu Yd cut Cu Yd Fill
Project Address (Not mailing address) ❑ Flood 0 Fire ❑ Uq ❑ Landslide ❑N/ArFl000rr Suite No
2233 w .092dod Neweorf & ,cam 2246 3 I
Description of Work
Use
CI ConstType�
r
b✓Ci��Si „p,t
# Stories❑ # Units (if Res)❑
0New/Add
Valuation 5PTO
Material/Labor '
�+)ntir
6
SFC . Remodel SF Garage/New/Add
OWNER'S NAME Last-
3?1GNGC(i/i( G01Y'j y7'i �'Y Irst
Owner's Address �C'% �'Cfj Owner's E-mail Address
z2 -Q17 />a- cd ax, /, &W' #390
City �•fG�/d�% G/t State Zip Telephone -213 P /7- {Qo
APPLICANT'S NAME Last I Op6/ First
Applicant's Address Applicant's E-mail Address. -
.257✓/. 110j/57///aj L /,,� 11,,1
City State GU- ZiP '.178E Telephone-{o'�-metal-' .r,1,/
ARCHITECT/DESIGNER'S NAME Last�f%j S� 1✓i
U � —] First .�fi° e,' ' Lic. No.
Architect/Designer's Address Architect/Designees E-mail Address
City State Zips Telephone
ENGINEER'S NAME Last I First���
Engineer's Address
Engineer's E-mail Address
I
City _State _Zip I I Telephone
LL
CONTRACTOR'S NAME/COMPANY r6T0,91 o ale -,c I Lic. No. No. 05 0070 Class G -9 S I
Contractor's Address Contractor's E-mail Address
City 11�� G -� State Zip. I q(726 1 Telephone _;riiw�'
72-3. Oa101e, d. ®....+5 a?:
SETBACKS REAR
SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USE ZONE DEVELOPMENT NO
PERMIT NO.
PLAN CHECK NO.'
PLAN CHECK FEES $