HomeMy WebLinkAboutX2018-0746 - Permit ApplicationX20I g D I I
I=rint 1 orm Worksheet for Combo Building & Solar Permit Application
r Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL �.o.+•'
rBuilding 'F<GGrading
rainage ec Tech Plum CuYdCut F_ CurdFill F_
Project Address (Not mailing address) r Flood r F`ire Liq r-Landslide r N/A Floor Suite No
4 I Z Ltk6o h io.
� r `S - 7 f_ F 2 F__
of Work
Use Const Type I vA
# Stories It Units (if Res)-
ADescription
1- N 2 !t
�r t
3.
Valuation $ I4 (�O®
Material/Labor `7V ,
New/Add SF
Remodel SF q Garage/New/Add �—
OWNER'S NAME
Last Ia CoFirst I 6VN_e_j
Owner's Address
Owner's E-mail Address
L112 lluka o n to o.
S re_e._
City YU QW_ Po ZTQT State CA Zip F_ Telephonel 6
APPLICANT'S NAME
Last Richart', First Jason
Applicant's Address
Applicant's E-mail Address
1041 W. 18th St, (A106)
Jason@richartdesign.net
City Costa Mesa
State CA Zip 92627 Telephone 949-422-9191
ARCHITECT/DESIGNER'S NAME Last Richart First Jason Lic. No. F_
Architect/Designers Address
Architect/Designees E-mail Address
1041 W. 18th St, (A106)
Jason@dchartdesign.net
City Costa Mesa
State CA Zip 92627 Telephone 949-422-9191
ENGINEER'S NAME
WANKET AL
Last ', First NELic. No.1
Engineers Address
Engineer's E-mail Address
`l3020 a
P, 1 N N9werir^�•Covr
City I Te.r \e cLJxl.
i State FA Zip 2, 1� Telephone ( BSI—So6_6 / 4S
CONTRACTOR'S NAME/COMPANY C ` Lic. No. Class
Contractors Address
Contractor's E-mail Address
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/.�_s G+�ov,\�.c`
State E—t Zip IZ7o`/ Telephone ?Tc?—Z �-
city r_)N`—t
SETBACKS REAR
SETBACKS FRONT PERMIT NO. XMI , 1 l4o
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. 06110 . Q,p is
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $
er t G) n (—