HomeMy WebLinkAboutX2018-0348 - Permit Application (2)Worksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division o
Comm'I j Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building i Grading F -Drainage lec �;Mech
ect Address 1
2S8`J Wp< Lam, Cd32_mw.FA
of Work
F
t nA2 CtA
26 25' -
yr r C 'Z S'na2Y
P2oFmSeO IU"S'E�1di2 C EtrTEd2tcs2 P-.Er.+o A-4v.r 'sd £'k Svr,.�
Q .'t: Si'DE'F.AC6 . � 1NCi2�A4E rN �1JA£� ¢E'�T OF O6:i C.Ql.+ls C hyo .
New/Add SF 7T_ Remodel SF Tt jj;0. o0 Garage/New/Add
Cu Yd Fill
[-N/A Floor Suite No
Uset,, Const Type �
# StoriesI # Units (if Res)
Valuation $11 I Sod, 0 00. 00
OWNER'S NAME Last Gf4FoJv'to FirstI G;jOtSToP44-�2
c)6,Owner's Address Owner's E-mail AMress
City' �"02®e6#A- (''L RA.2- State Zip �2^j" Telephone---
APPLICANT'S NAME Lastvibe�, First I V)Aet
Applicant's Address Applicants E-mail Address
(i'6$y`i 14LCxovQur�s �St
'So i -mc Dae,+�Y� v.►c2vuc^tA�Cht iEeR�:e�. curt
City ;tolril Fc�U�} f�lzh 'kl State FCZ ZiP Q'L6,3 TelephoneFS(p -40)
ARCHITECT/DESIGNER'S NAME Last First Fit _A0 tic. No. FC _4T_ 1
ArchitecvDesignees Address Architect/Designer's E-mail Address •2'Lff�'
568`-'k AG_ oNaJ,U S� �04TE_ C_ DAeitw @ NovOS` tit��rv2r.ccu 1
City State FCSF-- Zip Telephone `�& loci 44 -+A -
First NAME Last 5^P Ico 5 First (�r'T� ✓_a_ Lic. No. �O S
Engineer's Address _ - Engineer's E-mail Address
city State Zip �— TelephoneI
CONTRACTOR'S NAME/COMPANY �ild[(,� �jLti gaQSL�C- Lic.No.
46 Class F.
Contractor's Address / ' Contractor's E-mail Address
city i State � Zip 1 eZY -Telephone