Loading...
HomeMy WebLinkAboutX2019-2194 - Permit ApplicationPrintF©rm Worksheet for Combo Building & Solar Permit Application Comm'I r Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL F-Building r Grading Address [Drainage [Elec r Mech F- Plum F Flood ae r- Liq Cu Yd Cut I Cu Yd Fill rN/A Floor Suite No Description of Work Use W Const Type I+.tiNlb'`� CZGPt-,/�C,W�N'r �71 �IL.GNGI� Dcuc�VLS # Stories # Units (if Res)F New/Add SFF_07 Remodel SF F___�!— Garage/New/Add OWNER'S NAME Last W4L_Qp-- ----— First t L Valuation $ _ Material/Labor i5,000 Owner's Address Owner's E-mail Address City -State---- __ - -NTW_P61ll C,Ij %(� Z07 z6�% Telephone 7— APPLICANT'S NAME Last so_n First M Ai) ��, Applicant's Address 13O Zt5-c 5—tncxr City �tpST/J �✓1ES/a State Applicant's E-mail Address MptZlu C, MS Dc� • Ocj_C, N Zip gZ62-� Telephone 'lG-t ARCHITECT/DESIGNER'S NAME Last 53 T6 First ----------------- ---�� �--- Lic. No. Architect/Designer's Address city t p�li _N�6Sh state G6 Architect/Designer's E-mail Address Zip Telephone q+1 700 3IC-7 - - - ENGINEER'S NAME Last r}�,�`L� First b Lic. Engineer's Address l 1.7.5. 1 -- --OIC14R51 City -,�.--gu_Jl3------._ ,State .I CONTRACTOR'S NAME/COMPANY Engineer's E-mail Address UO2-� U ZIP '� % Telephone i 8 is Z3Sb _ v0��1R3c% (�CT�lC2s Lic No. 905_510_ Classl {{( Contractors Address �Y 12- ULlclop GQvLS Contractors E-mail Address City State Zip Telephone rltir.PonX_ a�L►+ _ C� �ZCE3 �1�S,67Zs SETBACKS REAR SETBACKS FRONT PERMIT NO. (!if • b i �-( - SETBACKS LEFT SETBACKS RIGHT 21 PLAN CHECK NO. 0 { ✓ ' dot CJ USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ IL