HomeMy WebLinkAboutX2018-3172 - Permit Application*sheet for Combo Building & Solar Permit Application@10
X Comm I �Residential City of Newport Beach - Building Division �f?sNOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL/�
X,Building F_ Grading 7,Drainage 5/Elec XIMech F -Plum Cu Yd Cut— Cu Yd Fill _
I
Project Address (Not mailing address) F-] Flood [, Fire 17 Liq F_ Landslide CN/A Floor Suite No
995 DOVC sr, NeWI?02-t 3Efl/z�it C -A 121PIP0 �2�5 i soo
Description of Work New 10, 1 WO
Use F27 Const Type W
I�flRTl 1 R1fFNT" IMPfLOV M�rJT 1WCLUD`1Nbp�nno.
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# Stors f s (if Res)
6
PPxr►TION, Glu lliy,, �lNKNb"5, SLE-G'rXlCH2., 0, MEcN NICHE
Valuation
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New/Add SF Remodel SF �y 31 5 Garage/New/Add �,
3lJoh/1 O
bor lJ I W
Material/Labor
OWNER'S NAME Last-BeN S First Kec(.y
Owner's Address Owner's E-mail Address
'-I0(X� v./ ML�t�o�OLI r�cN pR• , S�rcE I�tO yXLLV.Do13ENS G)AM. J'LL.GOM
City State Gfl' Zip Telephone'jI�-g39-2oZ5
APPLICANT'S NAME Last�Q 01/�(� i2 First AL GrXANV 9-A
Applicant's Address Applicant's E-mail Address
nrn VoN vAvmAN A -w , surrc- zoo-- /{.t3eawr-r� CaiN7�2 ta�A1LcbNTBcT�, coM
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City i�•VlN$ _-- -- State -C __--'I Zip Q2lol�-I Telephone 9419-190 - 7320
ARCHITECT/DESIGNER'S NAME Last L EL(y — -', First LI Si� Lic. No.
- � _ 32528 _
Architect/Designer's Address Architect/Designer's E-mail Address
1181-7 VON I-AfMAN OWC, St11r'E 200 L,tcEuy@IrrTtpto¢+YRtkiitt:�s.coM
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City ((LVINz State G¢} - Zip °12bo/y Telephone p{�7°.A0
ENGINEER'S NAME Last HAI-ri"WC First TDP_11�N Lic No 37453
Engineer's Address Engineer's E-mail Address
q2.1� Q�5rA1'LG1-�' ,�Q.. ', ft�CLlfl'N�PDA-EN(o.GOM
City State FCfi' Zip �gZ(fl� Telephone FWg Z' Iyq)
CONTRACTOR'S NAME/COMPANY Pte. chi I ({43111LPINC1COicNo. ��,j�QClass�l,
Contractor's Address Contractor's E-mail Address
3181 AIRY*A'V6-, UNIT -- --'' t'cRL( new".DBUU.0iW b.CQM
City el7ST M��Pr State C _ .I Zip I OlZloi(o TelephoneF7)4-43b- 2277.
SETBACKS REAR SETBACKS FRONT PERMIT NO. xaOl /c;? _
^3'
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.u�
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $