HomeMy WebLinkAboutX2021-2318 - Permit Application1
Point Foam Worksheet for Combo Building & Solar Permit AOpPliiati?n61 6".
F_ Comm'I F_ Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding F_ Grading
r'Drainage f-Elec f-Mech F-PlumCuvdCut Cu YdFill F
Project Address (Not mailing address) F Flood j` Fire r Liq r` Landslide CN/A Floor Suite No
:luta
Z
2W
Description of Work
Use Const Type
# StoriesF # Units (if Res)F_
Valuation$ 7bCC
Material/Cabo 7
2 (
New/Add SF�
Remodel SF� - - - Garage/New/Add
OWNER'S NAME
Last First
Owner's Address
'Z..� W..JJ M
E-mail Address
Owners
��.S�+�L�N�'
City I i R.f�
State I'.._... Zip l�'i,J,op Telephone
cJj���
APPLICANT'S NAME
Last fL/�p First 'f SV
Applicant's Address
Applicant's E-mail Address
City
State I Zip F Telephoners
ARCHITECT/DESIGNER'S NAME Last First F_Lic No. �—
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F_ Zip F Telephoned
ENGINEER'S NAME
Last First G I Lic. No.F
G/®
Engineer's Address
Engineer's E-mail Address
City
State F_ Zip [— Telephoned
CONTRACTOR'S NAME/COMPANY 3�,,�`'V0Cr-N kweS Lic. No. Fe> -1 4G7 p Class
a
Contradres
Contractor's E-mail Address
city 4e,,
State FD� v-- Zip Telephone q4q
SETBACKS REAR
SETBACKS FRONT PERMIT NO. �41,074 / �? l�
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. l� - ZjgDZ,�
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $