HomeMy WebLinkAboutX2020-0024 - Permit ApplicationPrint Form Wor _heet for Combo Building & Solar Permit Application Saw
City of Newport Beach - Building Division Comm'I Residential y p
1—NOTE- PLAN CHECK FFFS fll Ic AT Tinno nc ci iour-rn �
Building Grading rDrainage Elec Mech lum Cu Yd Cut Cu Yd FillI
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Project Address (No mailing address) f Flood F_ Fire F_ Liq F_ Landslide _)<N/A Floor No
Description of Work
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Use 0-2 ConstType
Sto iesF III, # Units (if Res)
FC5C0"T tXn0►3 OF 60I t.0I0Ca pN �c tS'I-1 i,)( gyp,
Valuation $
Material/Labor
New/Add 5F Remodel SF
I `�' 1 � I6
Garage/New/Add ��
OWNER'S NAME Last JA L A L I
First A l Al 1N AZ tlluF
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Owner's Address
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Owner's E-mail Address
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City C D M. _ State Zip Telephone 74117
APPLICANT'S NAME Last FjAN12AN1
First Q
Applicant's Address
Applicant's E-mail Address
3121G FIylNS Cloud 9>II
2s�n4b� 5R 94-.Otc e�/Lw,
City A5 un at 1. (�I.QX State �—
Zip d j (a � •7 7 Telephone ( � (f.)'3 o j �Z 1 3 2
AREWTEC" r/DESIGNER'S NAME Last F5q g
11 rA Y11 (� First Lic. No. F
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ArchitecUDesigner's Address
Architect/Designer's E-mail Address
31z1(, FlylnjGoudfir-
de5.ejA4YhA l•co,rr
City �,.aq KNA L!� ✓ N State
Zip 7, 6 7'% Telephone � 7 l ii-, 361 — 7 3.L
ENGINEER'S NAME Last FG 1 AV I M l
First 6 Se7 Lic. No. C48 Zg 2
Engineer's Address _
��o7Sl�Aale IYe� 1-atnE
Engineer's E-mail Address
City UjState
ro5, CA �jn,arl.cari�
GA
Zip 13Q Telephone (� I?) 5/ 1v
CONTRACTOR'S NAME/COMPANY owner I N i
r
J-er Lic No. �— Class "
OI c
Contractor's Address
Contractor's E-mail Address
City F— State
Zip Telephoner —
SETBACKS REAR SETBACKS FRONT
PERMIT NO. 1
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK N0.� /
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $