HomeMy WebLinkAboutX2020-1870 - Permit Application (2)Print For Worksheet for Combo Building & Solar Permit Application
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City of Newport Beach - Building Division
r Comm'I Residential
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
F_Building rGrading I —Drainage f—Elec F_Mech Plum CuvdCut F CuVdFill
Project Address (Not mailing address) F Flood F_ Fire I— Liq j Landslide j—'N/A Floor Suite No
Description of Wotrkk�` Use F ConstType
# StoriesF_ # Units (if Res)F
Valuation $
New/Add SF F_ Remodel SFF Garage/New/Add �— Material/Labor
OWNER'S NAME Last
First
Owner's Address Owner's E-mail Address
,10 ' " LV - �1
City 7V V N _ N/ State 1, Zip ��/ Telephonel-----
APPLICANT'S NAME Last I VCAAI1,,00
Applicant's Address
\Ao 1P �f (, (A State ITT -
city
ARCHITECT/DESIGNER'S NAME Last
Architect/Designer's Address
City
ENGINEER'S NAME Last
Engineer's Address
City
State
First I 1A0 P M e-)
Applicant's E-mail Address
iiWp,,, t 0,r,ro V(A Li� (GM
Zip ��i�X'� Telephone J'J4�3
First
Lic No. (_—s-ss
ArchitecUDesigner's E-mail Address
Zip F_ Telephoned ---
First
Engineer's E-mail Address
State Zip F Telephone
Lic. No
.7
CONTRACTOR'S NAME/COMPANY'�%� V Lic No. Class
Contractor's Address 9 Contractors E-mail Address
U(Tv)Ak (`
,UAv", 154State Zip�') �Telephone 1
City TO Ti
1u
�.
SETBACKS REAR
SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT
USE ZONE
SETBACKS RIGHT
DEVELOPMENT NO
PLAN CHECK NO.
PLAN CHECK FEES $