HomeMy WebLinkAboutX2015-0827 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
F-1 Cornm'I F_ Residential City of Newport Beach - Building Division 64-49.
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building [_ Grading Drainage R.Elec PMech 1Vc Plum cuvdcutl Cu Yd Fill
Project Address (Not mailing address) F -i Flood [ Fire Liq r, Landslide F/;'N/A Floor Suite No
Description of Work Use LI Const Type I J
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#Stories #Units (if Res)
ADw.vC— 273 SP A.EW Llvi v�-�ieE�vZ 0.ki7/iru� yaJfo� 69 iEA
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Valuation$
New/Add SF FF ;I -T3 J I Remodel SF 2_f% / f I Garage/New/Add-io SPI Material/La
OWNER'S NAME Last
First
Owner's Address Owner's E-mail Address
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City �Ul%j/(J/fc�el.fYJJ/Itl� I State C J Zip ?�(e�.$I-Telephone Lt3 lj
APPLICANT'S NAME Last 114etIzT/n/ - - I First FT670
Applicant's Address Applicant's E-mail Address
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City -I State L��i J Zip Telephone 77 �j 6�7-Ol 7 /. �
ARCHITECT/DESIGNER'S NAME Q 7-
Last �Z�/--.--_- J First S'e O.! - J Lic. No. G'_2n ,5_7
Architect/Designees Address Architect/Designer's E-mail Address
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City .. __/_E.'�/�i/Q'f'-B�jc�State Zip J'2 GCc 0I Telephone %'i/_7
ENGINEER'S NAME Last First �fl 1/ I Lic. No. C - SCaN
Engineer's Address Engineer's E-mail Address
City State 5E;/71t Zip 2/1�� Telephon 9yy S9 ,-4 z9
CONTRACTOR'S NAME/COMPANY 47 Lic. No. �� Class
Contractor's Address Contractor's E-mail Address
City _ _ J State �� Zip Telephoner _-� J
SETBACKS REAR SETBACKS FRONT PERMITNO. Q
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. l Ztog.l -201
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $