HomeMy WebLinkAboutX2018-3449 - Permit Application,--7 q q - zo .) .
Worksheet for Combo Building & Solar Permit Application P°�
City of Newport Beach - Building Division _
Comm'I Nth Residential Alr)TP- pi AN CHECK FEES DUE AT TIME OF SUBMITTAL
Building Grading LLDrainage v �EIec F Mech
F- Plum CuYdCut l � CuYdFill
Project Address (Plot mailing address) F_ Flood
F- Fire F_ Liq r` Landslide F`N/A Floor Suite No
I
1 v� lq w m as)
Description of Work
Use 'y Const Type I t� _'Fg
# Stories,. f Res)`
`��� f �3, Ano
41#1nits
Valuation $
Material/Labor
f' Gara e/New/Add
New/Add SF / J Remodel SF 1 g
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OWNER'S NAME Last
-� First Mee
Owner's Address
Owner's E-mail Address
City State
Zip Telephone) qy"�J
APPLICANT'S NAME Last Fig), t (� First '01Vi a
,Applicant's Address
Applicant's E-mail Address
2-7 6� Mr0
Vto 0 PZ�. co
City 01\4A �`S State
OJZ
Zip Telephone) -5�73 -1
ARCHITECT/DESIGNER'S NAME Last ;C
First Dfi Lic. No. ,?7q0
Architect/Designer's Address /
Architect/Designer's E-mail Address
Ono'lo 4• Wl' f
City 5 State
Zip �Z Telephone, y(�� - �� j �V
ENGINEER'S NAME Last
First i Lic. No.
Engineer's Address
Engineer's E-mail Address
6®WArld o
-
City /��( State
--
Zip I`Z,9 Telephone
J` CqVr,?5A%n-n Lic. No.-� Class�
CONTRACTOR'S NAME/COMPANY r'` M
l7 lv `
`
Contractor's Address
& N� 1 �..
Contractor's E-mail Address
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cityState r A
Zip � j
Telephone� 6 1 qj 9q 58J 1006
REAR SETBACKS FRONT
PERMIT NO.ETBACKS
[SETBACKS
LEFT SETBACKS RIGHT
PLAN CHECK NO.
j USE ZONE DEVELOPMENT NO
NL.yi\l uHEC�K FEES