HomeMy WebLinkAboutX2020-2348 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application °
Comm'I ( Residential
City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
F -Building F Grading
j'Drainage f-Elec r-Mech r Plum CuvdCut s cuvdFill
Project Address (Not mailing address) F_ FloodFire r Liq Landslide FN/A Floor Suite No
Description of Work
Use F—Const Type F_
# Stories # Units (if Res)[_
Valuation $
Material/Labor
New/AddSF� --
Remodel SF[----- Garage/New/Add f —� -
OWNER'S NAME
Last - First
Owner's Address
Owner's E-mail Address
City
State r___-_ Zip Telephoner.___—
f
APPLICANT'S NAME
Last First
Applicant's Address
Applicant's E-mail Address
City
State [._i Zip f ---- TelephoneF--
ARCHITECT/DESIGNER'S NAME Last First I_.— -- Lic. No. r-- -
Architect/Designer's Address
Architect/Designer's E-mail Address
City
--.-----
_ State F— Zip f .---- Telephoner
ENGINEER'S NAME
Last First �— Lic. No.F_
Engineer's Address
Engineer's E-mail Address
City �
_ _..
.State r--.�._-.-� Zip (----�-_� TelephoneF—
CONYRACTOR'SNAME/COMPANY /dNV�2�,4vC a�S�sr�l Lic. No. Sso073 Classrl�
C? ?
Contractor's Address
Contractors E-mail Addresses
City.State
c
lew �UN/22dlili}�C_ O.VcS!%VCO Or
C� _I Zip A,66 3 Telephone 7 —2t -/O —16 .-�..
SETBACKS REAR `
SETBACKS FRONT PERMIT NO. X242�0 -2.�8
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $
,Mr)q 1e I�,?A,