HomeMy WebLinkAboutPV2018-095 - Permit ApplicationNlNlli n 6
Print Form Wgfkiffit for Combo Building & Solar Permit Application
City of Newport Beach - Building Division
F] CommI Residential
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing address) F.] Flood E] F! ❑ Landslide ❑N/A Floor Suite No
Description of Work
Use Const Type
,5'70(3 &A% ROOF 1VS1_Vnii S z& SYS T6_ gr `:
TRes) # Storiesn # Units (i
Valuation $
Material/Labor �C
New/Add SF 3 �.` j - Remodel SF �7 Garage/New/Add �
OWNER'S NAME Last First f —�
Owner's Address
Owner's E-mail Address
City State F-7 Zip [7---7 Telephoned
APPLICANT'S NAME Last �����/U/ 1 First
Applicant's Address Applicant's E-mail Address
City--/�C�l.� d� ----- ----- State G� -_ Zip l�,? Telephone .7U_L.'y-k �6
ARCHITECT/DESIGNER'S NAME Last First _ Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
--- --____ —____ ------
City State Zip Telephoned
ENGINEER'S NAME La t — ))i
Engineer's Address Engineer's E-mail Address
City State �� Zip Telephone
—__ _
CONTRACTOR'S NAME/COMPANY Lic. No. 7/�P Class
�nE�.l7✓���L i r'/�L ..
Contractor's Address Contractor's E-mail Address
1/09 - )e141Gd.A2_ s/Li r -- -- -- /✓CG /�/ �z/ mtiCc--.rte. ----
City _ -,_ �GC-yrC - State �J Zip S Telephone
SETBACKS REAR SETBACKS FRONT PERMIT NO. V l5
SETBACKS LEFT SETBACKS RIGHT SS r PLAN CHECK NO. c
-
USE ZONE
DEVELOPMENT NO 4 CHECK FEES $