HomeMy WebLinkAboutX2015-0827 - Permit Application (2)Worksheet for Combo Building & Solar Permit Application
F-1 Comm'I f- Residential City of Newport Beach - Building Division 6449.
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building ) Grading F -Drainage �;Elec ;W.Mech .Plum cu Yd cutr Cu Yd Fill (J
Project Address (Not mailing address) F -i Flood r• Fire [ , Liq f , Landslide F"J'N/A Floor Suite No
2009 Y�tc,�r�.n C 4
Description of WorkUse
- -
ConstTyp �I i --I
e J
/7lmJ✓ X57/Ng ONc�C.EZEZ /�/O�bt�! /PE'BG'tp iL1/j+�� SRA
-----
� �,
# Stories # Units (if Res)
A'DO/�vlr• 273 _Yr iLEDv L(�iNG-/��9•Z OrJIZ7T/rv/s �fOJ�O� 69+�i'E�
11
Valuation $
Material/Labor 35Z�k
New/Add SF t aT73 Remodel SF 2.,Fe01 fel Garage/New/Add - yp sF I
OWNER'S NAME Last f 1 First C% ,6f2 4)
Owner's Address Owner's E-mail Address
/} CRTLl2Cl- fafev(5?V. erLhu9hes.cor-r, -
City de%�Pr�� I State j Zip 2 Telepho e
- st
APPLICANT'S NAME Last 4,i,-/Q'T/AI ------I First F-1-60 �
Applicant's Address Applicant's E-mail Address
3�_� ll�aihrLv'
city F�6 W__?Tnr &qrw J State [G^ -j Zipy �9
�I Telephone �7-()I �p 7
ARCHITECT/DESIGNER'S NAME 7
Last --�RI �J�%- -._J FirstFTC-07--A Lic.No. C'-259$7
Architect/Designees Address Architect/Designer's E-mail Address
_ 3�� �i'�lz.-�aiy/-/give -- --� Sco'Z!M&Ir'�ii^�trr�nift` _l(�✓ti
City //�/ F J State I-e�-- � Zip X9'2 (o& OI Telephone ?_ 9_ � i7 F7-
--- --- -----
ENGINEER'S NAME Last �I First Lic.No.
Engineer's Address Engineer's E-mail Address
2Y/3�52- Yer✓cn�/a..1�CPI_J 4hZ_e
City CUNT y!-._..----� State G' ..._J Zip .92�/J Telephon ?YV 9-7-4a�
-CONTRACTOR'S NAM E/COMPANY I Lic.No.[- Class
Contractor's Address Contractor's E-mail Address
City StateI Zip-� Telephone)
SETBACKS REAR SETBACKS FRONT PERMIT NO. A015:-, 0 :4- -
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. >tto31•-Zc{�_
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $