Loading...
HomeMy WebLinkAboutX2014-2996 - Permit ApplicationI Worksheet for Combo Building & Solar Permit Application (° Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Building FGrading F-Drainage r,Elec F_Mech FPlum CuYdCut 1-7 CuydFill F-1 Project Address (Not mailing address) C Flood [ Fire Liq Landslide N/A Floor Suite No � Description of Work Use FI Const Type # Stories # Units (if Res) ` \ C', G C4 Valuation $ Material/Labor l (/ New/Add SF - Remodel SF L(r� Garage/New/Add - OWNER'S NAME — _/- J First Last 1jiS_Q� . � e f Gi Iwi1 [ 5` i h Owner's Address - _._- - __ _ - -. - Owner's-E-mail-Address-- - - - � 2�1-- �fo�_ _� ,rr v� GcP- -� fio .R; a MFC CorJ t Co City etA) eo fl - eOC State _ Zip Telephonedd i APPLICANT'S NAME Last ( First Applicant's Address Applicant's E-mail Address City State Zip � Telephone _ l ARCHITECT/DESIGNER'S NAME Last _1 First _ Lic. No. Address Architect/Designer's E-mail Address City --- - - J State Zip [-- TjElephoneF _ ENGINEER'S NAME Last ! _24t First c -I Engineer's Address Engineer's E-mail Address City - - - - J State [__ J Zip F Telephone CONTRACTOR'S NAME/COMPANY j��ic.No. �ZZ Classl J -�- M V tuC, l� Contractor's Address Contractor's E-mail Address City q M PGt�S ( State Zip -70 Telephone r s SS i,� SETBACKS REAR SETBACKS FRONT PERMIT NO. Xg Dlq - Z91 "1(0 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $