Loading...
HomeMy WebLinkAboutX2022-1793 - Permit ApplicationR.'( Worksheet for Combo Building & Solar Permit Application j� Comm I [7, Residential City of Newport Beach - Building Division No! - 2_0Z21 NOTE: I LAN CHECK FEES DUE AT TIME OF SUBMITTAL Building ❑ Grading [-Drainage xElec n Mech n Plum Cu Yd cut I Cu Yd Fill Address (Not mailing address) ❑Flood Fire j-J Liq n Landslide ❑N/A Floor Suite No rn of Work Use n Const Type F—j Iey��4�T 1m`pameMotJ 9 It 0 1 , : is n I #Stories # Units (if Res) - -__g ---- Valuation $ I/ , New/Add SF�— Remodel SF� Gara a/New/Add—i, -� Material/Labor OWNER'S NAME Last cLA i 5 5 (Ls FirstE Owner's Address -i . Owner's E-mail Address --" 20 �LNTK/+ --- City M C�ESA State L�r Zip ©1 Telephone- I , ()S/ay APPLICANT'S NAME Last ©1�115 ---- _ 1 First -- — _----- -- -- - J Applicant's Address Applicant's E-mail Address com City - - q p j0q-t66-0q®5 State / �_ i Zip Tele hone ARCHITECT/DESIGNER'S NAME Last �u3 I I �/a - First LLZ- _ Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address ------------ City llwv+l�1 �- -_J State 01t3j Zip -I Telephone( t - .1� ENGINEER'S NAME Last �— I First �) Lic, No.� J Engineer's Address Engineer's E-mail Address - — _ -- State—! Zip VTRACTOR'S NAME/COMPANY�� '®� - -- -- ! Lic. No. g�'�3 I Class ---- — -- ---C ---- ---- ctor's Address Contractor's E-mail Address 6C) ---- --1 _awm cans��_v��� �J (0111 I — -- State L­jZip 66w Telephone 13 �Zb ?EAR SETBACKS FRONT PERMIT NO. x _ 1_7e� 3 'FT SETBACKS RIGHT ^�r�j PLAN CHECK NO. ` b s - ZCiZ•Z DEVELOPMENT NO PLAN CHECK FEES $ "j