HomeMy WebLinkAboutX2021-2280 - Permit Application (2)a, Pr)tt2Fatfn , ` -" Vorksheetfor'Gorribo Building-& Solar Permit=Application ��E«Po�0
� City of Newport Beach -Building Division 1 2 0Z) 2-2,90
� D QO
Comm'I Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL L„o,.•
[BuildingY'rGrading Drainage [iElec �Mech F_Plum cuvdcut� cuvdFill
Project Address (Not mailing address) [I Flood ❑ Fire Liq �; Landslide ❑N/A Floor Suite No
F___
Description of Work
New/AddSFI__!!!�_, RemodelSFF-7— Garage/New/Add
Use F—Const Type F
# Stories[7- Units (if Res)7
Valuation $
'.. Material/Cabo IWN��
OWNER'S NAME Last First �_14Trc
Owner's Address Owner's E-mail Address
Lj
City State ZIP /2l/33 Telephone Z/02. 5g7
APPLICANT'S NAME Last&461—f— First ,2i4
Applicant's Address
City Y0"A State I 00
ARCHITECT/DESIGNER'S NAME Last
Architect/Designer's Address
[ r2l cp �j�
City 1L (' ��� - State
Applicant's E-mail Address L
Zip Telephone 64,2, 80
First y( t N
Architect/Designer's E-mail Address
Zip �(j(�Q Telephone 5�Z
ENGINEER'S NAME Last�� First Lic. No
Engineer's Address
City State �-
Engineer's E-mail Address
Zip Telephone -F6� �'`{s__.im
CONTRACTOR'S NAME/COMPANY I - - - / �<C ClassLic. No.21���
Contractor's
Address Contractor's E-mail Address
City Y USB - State tel+ Zip Telephone
SETBACKS REAR d SETBACKS FRONT, ' PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK O.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES