Loading...
HomeMy WebLinkAboutX2018-1926 - Permit Application2oI�_(� W Print; Form Worksheet for Combo Building & Solar Permit�Application aw r Comm'I r Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL �I wilding r Grading rDrainage rJ Elec n Mech F Plum cuvdCut l LLLCu Yd Fill F7 Project Address (Not mailing address) [-I Flood n Fire E Liq [] Landslide ON/A Floor Suite No 1-7 14a6or ?6t'o4C JR 1771 Description of Work Use F7 ConstType F7 # Stories # Units (if Res)❑ - -- Valuation $ j ©�.� Material/Labor O New/Add SF Zj� Remodel SF � Garage/New/Add F OWNER'SNAME Last OI yyl First I F:3i Owner's Address Owner's E-mail Address (-7 ( L,/( Gli _-Grin L77 City /tiwra1.4 -.-_ -_--.. State L F7 Zip �z '', Telephone%'}-q 6. APPLICANT'S NAME Last Dp.�,,�)/ye(,,,I,,�-(/�� First Do✓1 Applicant's Address CJ Applicant's E-mail Address City State J Zip F----7 Telephone r/ of ARCHITECT/DESIGNER'S NAME Last I—iI First F77777 Lic No. itectl esic ress Architect/Designer's E-mail Address 1 CitYF_j _ _ State �— Zip F_— TelephoneF� ENGINEER'S NAME Last CJ�ynn First MN" l Lic. No. ) Z Engineer's Address Engineer's E-mail Address — — - City _ - 777777 State F Zip �I 1 TelephoneF_7_71 CONTRACTOR'S NAME/COMPANY P6dS N 70�� Lic. No. S/7S7r Class Contractor's Address no Contractor's E-mail Address 013 00 die 6-) (pwJ tj rye �— Cc��l�_�(ZvoM3Nc�Vc/S• CQ!�1 city��� 4v11�01 /v� ?�/� State C,f�' '.. Zip �� �,6 % Telephone �Cii-I-> LU_OSj'� ( SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. r USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ I