HomeMy WebLinkAboutX2020-2055 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Appl' a ions m
r Comm'I 17 Residential
City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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;Building [!Grading
(—Drainage ffElec rMech rg Plum Cu Yd Cut
Cu Yd Fill
Project Address (Not
a' ing address) F Flood r Fire r Liq r Landslide
rN/A Floor
Suite No
New/Add SF
OWNER'S
Of Work NSW p,,pl rooq_ 3 NbN ElnRti55 w! IVEUJ Use F ConstType F
'(tiAf41 3 C,LOS�T R�nnD'DFL _- +-•Y�L
# StoriesF% # Units (if Res)F
S� g -- - Valuation $
s odel F Gara a/New/AddrAI Material/Labor .b5, OW. 00
LV(-A0 r First IC
Owner's Address Owner's E-mail Address
_I_Ib'b _y16Nl.AND_ -- - CAAllTLV60_P A 0L.001\,\
City
APPLICANT'S NAME
ACAA State
Last
Applicant's Address
NIa► Ilo47__ PLgC£ -- -- _
City COST A m_1w5_A State
Zip
First
Applicant's E-mail Address
CIUTaUG l2ALLJ5.r 1@ yA-%AOC. COM
Zip L1z� Telephone 9uq� Z�, 334
ARCHITECT/DESIGNER'S NAME Last R First A ND�
SG p ��N Lic. No.
Architect/Designer's Address
97,0(n_1.15NNC-,4aP
city L. R (,A\JN A___ L3 S A C,M-_ state [-GA—
Architect/Designer's
E-mail Address
AN RAW@M(�tRAW ARCrdIT�L�• COAn''
Zip g2105 Tele phone q� O I? -
ENGINEER'S NAME Last I V OL PJE First ib0',& Lic. No.F
Engineer's Address
2-b32V_LAAf,-
City 1LAA5 Y0RS51_ state FA _
Engineer's E-mail Address
_ fb_b_ R Rnrnv OL,P£._C oP _-
Zip 9-L oao_ Telephoneg4} - ,05-y_400
CONTRACTOR'SNAME/COMPANY ALLEN WRLK"_CONSTQV4_7IC,,j Lic. No. 1015_bb3' Class'
Contractor's Address Contractors E-mail Address
ACE
WA
i a � �- Telephone „t„ _-
city C l7STA tYiLE $ 4 State Ci /� Zip Q2b 2L KI: R Cl elephone 9 Li 2 8 334 y
SETBACKS REAR
SETBACKS LEFT
SETBACKS FRONT
SETBACKS RIGHT
PERMIT NO. iCZo 7 6 - 25
PLAN 'CHECK NO. 1 ���3 Zs7Z-C)
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $