HomeMy WebLinkAboutX2018-1475 - Permit Application (2)Worksheet for Combo Building & Solar Permit Application
F Comm'I residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
ect Address I
of Work
New/Add
�Krainage F- Elec
Remodel
F-Mech j Plum Cu Yd Cut Cu Yd Fill
F- Flood F- Fire F- Liq r Landslide F_N/A Floor Suite No
Use F Const Type F
# Stories # Units (if Res)F
ab)rl-+`t r HZ.St
OWNER'S NAME Last �j&t\4zJ05 First 17-4.0
Owner's Address Owner's E-mail Address +
City NC -V State Zip !� Telephonel
APPLICANT'S NAME Last I 9AW melt w
Applicant's Address
32Jllo t�fGvC7k �°NE
City 1COOM AAI050t State
ARCHITECT/DESIGNER'S NAME Last I j
Architeot/Designer•s Address
City coI%°tM0510f State IrN
First I E�m L,C_
Applicants E-mail Address
Zip f � Telephone 7_ 422
First � Lic. No. 23 5
ArchitecUDesigner's E-mail Address
e�cc, wi�m slol�l 7�
Zip Telephonelj
ENGINEER'S NAME Last i Y^rvtl I First SttUCRI Lic. No.
Engineer's Address Engineer's E-mail Address
I/2 Cf ,Nr-hn i McGft�laI•M4X0C*^L.CeW
City State it Zip a2 Telephone 7/. q 77- qlW
CONTRACTOR'S NAME/COMPANY Lic. No. ClassF
Contractor's Address Contractor's E-mail Address
City State FZip Telephone�—
SETBACKS REAR SETBACKS FRONT PERMIT NO. %(LQ th — L) 2_5
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. � 05—
USE
USE ZONE DEVELOPMENT NO V�-70 I7 b6)9 PLANCHECK FEES$