Loading...
HomeMy WebLinkAboutX2018-1985 - Permit ApplicationPrint l orm Worksheet for Combo Building & Solar Permit Application o</^<F�w°°^re F comm'] Residential City of Newport Beach - Building Division L h NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL fpfruilding [7Grading [7Drainage F-Elec rlMech F]Plum CuvdCut F] CuYdRIIE Project Address (Not mailing address) G' Flood ❑ Fire ❑ Liq ❑ Landslide ❑N/A Floor Suite No 'alu hM1(:tCS UQA-� t RAT PzftcH CYO 92v&C) F- F —J Description of Work Use Const Type F7 # Stories❑ # Units (if Res)C Valuation $ New/Add SFr Remodel SF �� Garage/New/Add �� Material/Labor i Cj WC) OWNER'S NAME Last ---- I'1 t (-,Er- Owner's Address P- - 1bX 10121 City I CQAa M� - I State APPLICANT'S NAME Last Applicant's Address City ( A State ARCHITECT/DESIGNER'S NAME Last Architect/Designer's Address City State First Owner's E-mail Address Zip LtZCOJ I Telephonel(LIL HI22- R140 First E-mail Address Zip _-. l�l -- Telephone (420 UW-- First F___71 Lic. No. �— Architect/Designer's E-mail Address Zip Telephone) ENGINEER'S NAME Last lz_- k*Cyu First �ll.l1� Lic. No. Engineer's Address io�lt) 51``� I�,iJft; A2. �itT� ice- 2aq cityI tS - State CONTRACTOR'S NAME/COMPANY Contractor's Address 4�kS k3ircC� S-� city I,F- Engineer's E-mail Address &JgCA i P 0L0t . C C✓vl ZIP t- Telephone RP17z�) - U V1 US CChYvS �(V�{�'©vy Lic. No. F3F51 - Contractor's E-mail Address r-obi VA 08a\"%ICIV�Okos s4 tvch' an. cc� State C t i Zip °ta S 3p - 6c,o - I q aa­T SETBACKS REAR SETBACKS FRONT PERMIT NO. xZD I.� — ley 5 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $