HomeMy WebLinkAboutN2021-0665 - Permit ApplicationPrint
or Worksheet for Combo Building & Solar Permit Appliedtion orEW arm
City of Newport Beach - Building Division g
Comm'I Residential 49NOTE: PLAN CHECK FEES DUE AT TIME OF SUB�MI`T'TAALL "I� t c
ABuilding Grading r;Drainage r,Elec rMech f"' -,plum Cu Yd Cutl Cu Yd Fill
Project Address (Not mailing address) F Flood r Fire F_. Liq j"-; Landslide f7.N/A Floor Suite No
I3�, PE5CAD®R DR. , wewpa nr aeActir, cA.
Description of Work
Use Const Type V -a
piza"swo aomdVgt, A."* REP'rt aoie it OF 2 f.AnAcE pooh$ Fet #Storiesf #Units (if Res) j
0+(51I51L ACCII -b GAMC-x. Fa4ml oe ►wive( ,stars siii .iIL POtAe ►
New/Add SF Gara e/New/Add Valuation $
Remodel SF�Material/Labor 2U/ VO®
OWNER'S NAME Last WEISE First j`4rq(CCE(
Owner's Address Owner's E-mail Address
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city state 2
Telephone Z2 _ p
NEwPoa-( aa�- - Cp zip
°i4Lo Rq� 3 t90
APPLICANT'S NAME Last CA(LD05o First 14JC,14AVL _
Applicant's Address Applicant's E-mail Address
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City SfhTa A WA. State CA ZIP q 2%®7 Telephone %J C- - I 2 `^(,2 $b
ARCHITECT/DESIGNER'S NAME LastF__ First ,
Lic. No.
Architect/Designees Address Architect/Designer's E-mail Address
City State Zip Telephone
ENGINEER'S NAME Last C %i(t Q6 $ G FirstM (OkkF.L Lic. No.FC 159 C(i5
Engineers Address Engineer's E-mail Address
33177 2A»tnwAp(t. -- CgrAasotnwsu141v,9tc.0 ollo cow,,
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City I SA& (k, ,AtJA StateC/�, Zip 'Z,�®`0Telephone �((7- il, x'425,
CONTRACTOR'S NAME/COMPANY 1 Lic No.cc oc Class
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Contractor's Address Contractor's E-mail Address
/a O,1, -41r 7_feCYcr
city -._..State I CA-._-.. zip-0/�(QL2Q Telephonec?.I?.1zZ 6-IFF3......
SETBACKS REAR (2 SETBACKS FRONT ��i✓ PERMIT NO. - X
SETBACKS LEFT 6d SETBACKS RIGHT b PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $