HomeMy WebLinkAboutX2018-0348 - Permit ApplicationXS0N •o�y
I"n:z-774
Worksheet for Combo Building & Solar Permit Application
- Comm'I F- Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE ATTIME OF SUBMITTAL °u.�w...
Building Grading F -Drainage �lec ch lum� cuvdCut F cuvdFin F
Project Address (Not mailing address) _ lood F-�jFire �F.- Li andslide CN/A Floor Suite No
258`J CDe_okjA,
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Description of Work
Userk�Const Type
#Stories #Units (ifRes)F
PRer%SeiJ Re�JoU'A-Ta,)'M €'F(S'Ir, c 2S`lo<2Y
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4615(6 'r 0jPcKb%E,2 S'Mta- Fot, 6~ 6*
Valuation $ 00
'TO tBT- Fc a
New/Add SF Remodel
SF 5't Szoo- Garage/New/Addy_��
Material/Labo[;;01000.
OWNER'S NAME Last c A,'FoQ_t o First I t: H 9,tQ,To 4teVZ_
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Owners Address(
Owner's E-mail A7ldress _
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City' (OCak A- ()CL 11A,12 -State
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! r�� �f•+' Zi l a— Telephone[
APPLICANT'S NAME Last
� P _ First DAatt"")
Applicant's Address.
Applicant's E-mail Address
1"6Z3`)�'- P�LCnova�ru `Si'
j'c.)i-CEL:Dhe�h+.Y�9�9c7VLlc^�R�chtq'�eRo��. ccat^'1
city {LUttllJrc7bli .(56ICC.k(
State CI Zip _ QZ4 Telephone Sjp ne C'(414e 6
ARCHITECT/DESIGNER'S NAME
Last First�—
�6�a7 Lic.No.I334i1
Architect(Designer's Address
Architect/Designer's E-mail Address
�16g� AL�awJQ�Tics Sr
�llE C —l?,Q Novu+�k`eeHtTfcrJPd .ce3t1
City �.(-lr!r..F,nrfiioal ar'u'4t
State' CA- Zip F C{'LC� +t Telephone -�11,6 '4t1cl 44`4
ENGINEER'S NAME Last
SR21ct S First F j5r' � t2. Lic. No. j 0 3 £3
Engineer's Address
Engineer's E-mail Address
City
State Zip �— Telephone�—
CONTRACTOR'S NAME/COMPANY
�il�C� j4�/ e'eS- �t/C� Lic.No.651-7� Classr�
/ '
Contractor's Address
Contractor's E-mail Address
a/376 4N64t.",,
ifs -roc
- -
h
IjCi Telephone
State Zipi 73®.37
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. v ��9j �• % 4 �j
USE ZONE
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