Loading...
HomeMy WebLinkAboutX2016-3880 - Permit Application (2)Worksheet for Combo Building & Solar Permit Application Comm'I Residential City of Newport Beach - Building Division F NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL �a ❑Building ❑Grading ❑Drainage [�Elec ❑'Meth ❑ Plum Cu Yd cute' cu ydFlll Project Address (Not mailing address) ❑ Flood ❑ Fire ❑ Liq ❑ Landslide ❑N/A Floor Suite No C Description of Work b� Use Const Type # Storiese # Units (if Res) , f� INF�IP-C�' F W olz 'SV�S"`S New/AddSFF—,--- Remodel 1iF Garage/New/AddF J Valuation $ Material/Labo OWNER'S NAME Last CR oSS First' l� Pj E!Yt Owner's Address Owner's E-mail Address 1 City NQwPCP—t" tge-Ac:ll State ep- Zip Telephone APPLICANT'S NAMELast First Applicant's Address Applicant's ' E-mail Address PP - , City J state F-7 Zip Telephone ARCHITECT/DESIGNER'S NAME Last First Lic. No. L '. Architect/Designer's Address -' Architect/Designer's E-mail Address i i City State Zip Telephones ENGINEER'S NAME Last l First [� ZL� J Lic'No. -Engineer's Address : -> Engineeesr E-mail Address i .City �— _, _ I State Zips Telephone—I CONTRACTOR'S NAME/COMPANY sN G0aSTI'ueflD Lic. No: �'i3661 Class li Contractors Address ' Contractor's E-mail Address i$11 A'LISo c P1' It (M-A4to L IviLo��awc v�atny%twnS�'"wcfian, cow .� City I.A(�Un� /V\G EL_ State G.,A Zip 671 Telephone gLrs' i1D—/77' SETBACKS REAR SETBACKS FRONT PERMIT NO. eO� b ETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. _77T �T / $E ZONE DEVELOPMENT NO PLAN CHECK FEES $