Loading...
HomeMy WebLinkAboutX2020-1446 - Permit Application (2)(2,0\ X2020-144LO punt Form Worksheet for Combo Building & Solar Permit Application ,44`�"m ❑ Comm'Ixx Residential City of Newport Beach - Building Division o NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL G.,�o„ Building r7 Grading ❑Drainage A,�Elec ❑Meth )(plum Cuvdcut[71 CuvdFiil� Project Address (Not mailing address) ❑ Flood ❑ Fire ❑ Liq ❑ Landslide ❑N/A Floor Suite No 3 F -4 F-7 F_� Description of Work Cr 1MIT y—e f Ldvw V taeu 1,44, rte l ti� ' LAI a C Rvdt LS IIk-1 �Atnlllmv' tvi7ln rkvs 1)-�d r ST e' t Kf New/Add SF OWNER'S NAME Owner's Address Remodel SFr -7:77-77 Garage/New/Add Last First Owner's E-mail Address Use ,1 2 Const Type # Storiesm # Units (if Res)© Valuation $--- -�- Material/LaborI ' ,klo r),1) 3 �w tv ) O3 / City State Lam(¢- Zip Ct. D 3 Telephone ,)ct FFgl—lgy% APPLICANT'S NAME Last First Applicant's Address Applicant's E-mail Address D ke z ,V C W%4Rj IL C'-�tKA&L -(r LCAm telek �—T City Vl (BCNU V\ y I � State c Zip�,. °t, j Telephone �� ARCHITECT/DESIGNER'S NAME O Last �" tii�U" - First I l � Lic. No. Architect/Designees Address TQ & City Lf State T,dL Architect/Designees E-mail Address Zip c1.�(�l,l� Telephone� ENGINEER'S NAME Last First 'SIT Lic. No.1 a Ll Engineer's Address l (9l LA I -VVVk r)tr ST cityrGITAI�i'Tos State L Eng' ur's E-mail Address '7 +71t� /� i Zip `lUr7. -e Telephone sj'0 6 "t Q�ry Cl � �' T CONTRACTOR'S NAME/COMPANY` Lic. No. 26 �'71J� Class Contractor's Address city 7/tl L#moi, State SETBACKS REAR SETBACKS FRONT SETBACKS LEFT SETBACKS RIGHT USE ZONE DEVELOPMENT NO Contractor's E-mail Address Zip �' t.>L� Telephone��- PERMIT NO. PLAN CHECK NO. PLAN CHECK FEES $