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HomeMy WebLinkAboutX2019-1284 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application f— Comm'I F- Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Grading F—Drainage F- Elec r— Mech F— Plum Address tn-9 of Wnrk Cu Yd Fill address) C Flood F— Fire F— Liq F— Landslide F -N/A Floor Suite No New/Add SFF— Remodel SF� Garage/New/Add OWNER'SNAME Last lion Owners Address ^ f �-ol �IV l RI=V-1 z �lZ City N( (I _.. _ State �— APPLICANT'S NAME Last S Applicant's Address 47.31.1 CAIV40W 1i -1t City N State FG ARCHITECT/DESIGNER'S NAME Last �— A chitect/Designers Address Use Const Type F # Stories # Units (if Res)F— Valuation $ Material/Labor1 l �D First[;A-" w�� . GR.►'s i Owners E-mail Address Zip Firstl. HAI C— �S Applicants E-mail Address A P 4l S SN►1 TH Zip . 9.1% O S- Telephone ;/ -4:514? / 191 First F_ Lic. No. �— r Architect(Designees E-mail Address ._. _._.. City State F— ZIP F— Telephoned -- ENGINEER'S NAME Last I x 1 No Engineers Address S -)Lo Q.RPOV, (4O"Ok/. It 4 S City S A A NA State G.A CONTRACTOR'S NAMEICOMPANY 17 Contractors Address 11-S47- CANKDA/ TIS City IVI�Nfj State �_- First Q I Lic. No. $ L 1 Engineers E-mail Address Y Zip I�Z Telephone 714 66z OS1O 4fO7V81 Lic No. 374449 Classy_ Contractors E-mail Address Zip ij;L"7OS Telephonei71[q/ SETBACKS REAR SETBACKS FRONT PERMIT NO. ✓� SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. CT i USE ZONE DEVELOPMENT NO _ PLAN CHECK FEES $ 1 Worksheet for Combo Building & Solar Permit Application City of Newport Beach - Building Division r Comm'I r Residential NOTE: PLAN rHFr.K FFFS DUE AT TIME OF SUBMITTAL 9 F.Building F7Grading r -Drainage r-Elec r-Mech rPlum Cu Yd cut Cu Yd Fill Project Address (Not mailing address) [ flood F- Fire [ Liq F- Landslide [N/A Floor Suite No Li ss Description of Work Use I Const Type # StoriesF2—Units (if Res)F_ GD 1 Valuation $ �n Material/labor 1 7 ew/Add SFF— Remodel SF�— Garage/New/Add �— OWNER'S NAME Last First( fV-.iPQ(e,-- Owner's Address Owner's E-mail Address r� �/ 'r%V T R t:i"(Z) �T- 1 � City .__ State Zip T 3 Telephone'94� ( 09 APPLICANT'S NAME Last S t'rn. t 'T v* First �& Applicant's Address Applicant's E-mail Address 1 3 4Z CI�+v G o n/ 1- 9— �-�os� s �-rw .� M �� City State ZipQjj,,C,Telephona�714 r �Firirsstt ARCHITECT/DESIGNER'S NAME Last �— F— Lic. No. �— Architect/Designees Address Architect(Designer's E-mail Address City State F Zip F TelephoneF_ Lic. No. ENGINEER'S NAME Last FX' O First 7491 Engineer's Address Engineer's E-mail Address 1Sw &-DO-tQ�.L1A Lt r City State Zip q2 D� Telephone 7� �� DS D Sf r a-r� A/� CONTRACTOR'S NAME/COMPANY r ' '1 v �V / . IS 1..`H e t Lic. No. I Class I Contractor's Address Contractor's E-mail Address I'1-3 4 (JA */H o,lv %Itp I _tom City P1if`1/.k State I CA Zip i lq i � Telephone 7((� �y t9� SETBACKS REAR SETBACKS FRONT SETBACKS LEFT SETBACKS RIGHT USE ZONE DEVELOPMENT NO PERMIT NO. q� PLAN CHECK NO. PLAN CHECK FEES $ l� � ,O. "� Worksheet for Combo Building & Solar Permit Application City of Newport Beach - Building Division F— Comm'I F– Residential NOTE. PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Fy Building F- Grading F -Drainage F- Elec F- Mech F- Plum CuvdCut cuvdFill F Project Address (Not mailing address) F- Flood j- Fire F- Liq F- Landslide F -N/A Floor Suite No Description Use Const Type # Stories # Units (if Res)F_ noofWork R Valuation $ Material/Labor V New/Add SFF— Remodel SF �— Garage/New/Add �— OWNER'S NAME Last I HDA First fVt w DA 1 &R1t S r 140A Owner's Address Owner's E-mail Address lot iN i�Z� PI tJ S� City I N li�— State I Z t_ - Zip :C661 Telephone q APPLICANTS NAME Last M U First RA/".S Applicants Address Applicant's E-mail Address 12347. �IVNa& I K%L Nf,.t)Srl-E iAk �t�:A City FSAOJTA. _P„/>t _ State �– ZIP %47 Telephone'M_ S3V ("qt ARCHITECT/DESIGNER'S NAME Last First— Lic. No. �— Architect/Designer's Address ArchitectlDesigner's E-mail Address City State �_— Zip �— TelephoneF ENGINEER'S NAME Last x ! First o I A416- Lic. No. S� g9 Engineer's Address Engineer's E-mail Address IS7.o Ci DOV-14otww City. ir An; State I CA– �� N}NJ� Zip q��7 �� Telephone '� bS/ [) CONTRACTOR'S NAME/COMPANYLic No. �?4 40 Classre N",)S SM m 4 L.4/ Contractor's Address Contractor's E-mail Address 1. 11141 CANy t7 VV 1 city -- t A, _ .C400- __ State �— Zip j-) 7 j)S' Telephone) ' ` g 1 q ( SETBACKS REAR SETBACKS LEFT USE ZONE SETBACKS FRONT SETBACKS RIGHT DEVELOPMENT NO PERMIT NO. PLAN CHECK NO. PLAN CHECK FEES $ Worksheet for Combo Building & Solar Permit Application City of Newport Beach - Building Division r Comm'I r Residential NOTE: PLAN r.HFr.K FEES DUE AT TIME OF SUBMITTAL jI.Building F- Grading F -Drainage F_Elec F-Mech f7 Plum Cu YdCut F Cu Yd Fill Project Address (Not mailing address) C Flood r- Fire r Liq r Lallndslide [N/A Floor Suite No Description of Work Use F—Const Type F_ # StoriesFL—Units (if Res)F— Valuation $ TOO Material/Labor 1491 d l New/Add SFF— Remodel SF[— Garage/New/Add OWNER'S NAME Last 14 o R First N4 Owner's Address Owner's E-mail Address - (�-D 1 T N -VEL i_? I (J ST I City -._ �� _... __... State �� L Zip � 663 Telephone 4(�� VQ APPLICANTS NAME Last SII I j 4 First 1 1'I A�CrUS Applicants Address Applicant's E-mail Address I'Li 4t L4 AM 0 1 ,:SL 60y. Ni:.fi City S Aix State �� Zip (S Telephone '71 3 T I I q ` ARCHITECT/DESIGNER'S NAME Last First F— Lic. No. 7— Architect/Designer's Address ArchitecNDesignees E-mail Address City State F— - Zip Telephone ENGINEER'S NAME Last X I AD First (a1 I Lic. No. SZ.. $C Engineer's Address Engineer's E-mail Address 5-1.0 (SCLDDK.j4y"cvv, 04,S- city I� A R 0� State I (A — Zip 0 S- Telephone 71 Os -1 O CONTRACTOR'S NAMEICOMPANY AtjC7,1):6. Svov I -T t4 &t2tj S t Lic. No. 614'1 44bclassF Contractor's Address Contractor's E-mail Address d�341 Cam&tvv/ �. city S /� State Zip 9 )_7 S Telephone1 -714 5V0 11q SETBACKS REAR SETBACKS LEFT SETBACKS FRONT SETBACKS RIGHT PERMIT NO. PLAN CHECK NO. L� 2C7 L USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ Worksheet for Combo Building & Solar Permit Application r Comm'I r Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL rBuilding F -Grading F -Drainage rElec rMech F- Plum Cu YdcutF CuvdFill F Project Address (Not mailing address) F7 Flood r Fire t- Liq i— Landslide FN/A Floor Suite No �- G. _ '�4r _ L Gx Description of Work user—Const Type # Stories # Units (if Res)F— valuation$ Material/Labor New/Add SFF— Remodel SF[ Garage/New/Add F OWNER'S NAME Last M 0 A First Nti� (A PO Owner's Address Owner's E-mail Address IT city j (O State F Zipl gZb63 Telephone 41,g 6663 r mS- APPLICANTS NAME Last S m rr,+ First N &t4S Applicant's Address Applicant's E-mail Address 11141- 6Nuay.0V T►' -1t NcruS Sww-rl4'P City `,'f'� - �%T.�_ hFNi�'- -_ _ State �/ n Zip.._R�..% V' S_ Telephone -7I V ARCHITECT/DESIGNER'S NAME Last First Lic. No. �— Architect/Designer's Address ArchitecUDesigners E-mail Address City F— State F Zip [— Telephoner— ENGINEER'S NAME Last x ( &0 First 1) Lic. No. s Z � 7 Engineer's Address Engineer's E-mail Address 1 -to 4.4©LLOU/ City (1 Q State I^ Zipq1 S Telephone CONTRACTOR'S NAMEICOMPANY�n/�yUS S �T�,E W, �/si Lic No.Fe. 0 Class — Contractors Address Contractor's E-mail Address 17-3 41- 61VN40m/ tit _A _ State Zip I j-7 S"' 51g Telephone, '� , I Gaal City _ S��_,�I `Liti _I. SETBACKS REAR SETBACKS LEFT USE ZONE SETBACKS FRONT SETBACKS RIGHT DEVELOPMENT NO PERMIT NO. PLAN CHECK NO.l t� rLe>l PLAN CHECK FEES $ Worksheet for Combo Building & Solar Permit Application Comm'I r Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL } a� U G4wPMJ (Building F_Grading (—Drainage F_Elec F-Mech f7 Plum CuvdCut CuvdFill Project Address (Not mailing address) C Flood r Fire F_ Liq (— Landslide CN/A Floor Suite No _304 Description of Work Use F Const Type QS 01-4-0 AJH PA 1 R # Stories # Units (if Res)F Valuation $ 9 New/Add SFF— Remodel SF F Garage/New/Add F Material/Labor c?00 OWNER'S NAME LastID First A/I_WPoaT GfLi-Sg Owners Address Owner's E-mail Address aDl 1tVT(Zel' ST City _ N State _6A -zip I Telephone 944 63-1 U 91..E APPLICANTS NAME Last �S(y` �T it First F�N(y us Applicant's Address Applicant's E-mail Address i'1rr'-1 4-L LAm,, ory l=am P1 NMJs 4m NO r? 60)c-Ni:,T City ! .SI't � A ''t IVA State �— ZIP 9 � 1)$ Telephone '� � S a I 1 9 ARCHITECT/DESIGNER'S NAME Last First F Lic. No. F— ArchitecUDesignets Address Architect/Designer's E-mail Address ._. F— Zip. — Telephone[- City State �— Tele hone ENGINEER'S NAME Last i(AAA First FW _1A Q/&! Lic. Noi Engineer's Address Engineer's E-mail Address IS -)-a Q..RADi(,t40LL0V City A (� NA State �— ZiP 9'�� Qs Telephone' 4 962. o SI Q CONTRACTOR'S NAME'/COMPANY S r Lic. No. 637440 Class NisV1 IN�1'Tl� WINS Contractor's Address Contractor's E-mail Address 11.342 61bk b+v T,=.rL `- City IIiIV_a.�. _ ,NI/i ._ State �— Zip_q�- S Telephone �tMg(.�v/1 SETBACKS REAR SETBACKS LEFT USE ZONE SETBACKS FRONT SETBACKS RIGHT DEVELOPMENT NO PERMIT NO. PLAN CHECK NO. C:w:t 1' ' "LaV� PLAN CHECK FEES $ Worksheet for Combo Building & Solar Permit Application r Comm'I r Residential City of Newport Beach - Building Divisiona NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL °°ro""�" r.yBuilding F- Grading F -Drainage F-Elec F-Mech j -Plum CuvdCut F Cu rdFill F Project Address (Not mailing address) C Flood Fire (- Liq F- Landslide F_N/A Floor Suite No Description of Work Use F Const Type A Cool # Stories # Units (if Res)[_ Valuation a 4906New/AddSF�— RemodelSF Garage/New/Add �Material/tabor[Vic OWNER'S NAME Last 14D I First nIt' U✓p p2� �,�$� Owner's Address Owner's E-mail Address City W _. State 14 f Y Zip F 4 Telephone q/ 9 Oq 2 APPLICANTS NAME Last S'1r� t"f I� First S Applicants Address Applicant's E-mail Address X1.341 CfaNw/o�ry i'.n et a40,r.M.� ..�I�%�a5- City ..51'rry ,A _.�Q/'s• ...... _ State ZipgAli��� Telephone' / I ♦'F�� ARCHITECT/DESIGNER'S NAME Last First �— Lic. No. �— Architect/Designer's Address Architect/Designees E-mail Address City F State F Zip F—- TelephoneF— ENGINEER'S NAME Last )(I A D FirstQ 1 N V Lic. No. S�19I Engineer's Address Engineer's E-mail Address l S7.o CSCLDOIGthDL.l.p W City S� N` Cl A State [� Zip i� S Telephone 76% Z1jZ bS'J Q CONTRACTOR'S NAMEICOMPANY w y Sµ �� GO Alst Lic. No. 17k4b Class Contractors Address Contractor's E-mail Address 1. —1, . State— City _ N -'I ZIP RZ%0S� Telephonel �F SIS? 4 .7 1 g I (Igr SETBACKS REAR SETBACKS FRONT SETBACKS LEFT SETBACKS RIGHT PERMIT NO. PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ Worksheet for Combo Building & Solar Permit Application City of Newport Beach - Building Division F- Comm1 r Residential NOTE: PLAN cHFCK FEES DUE AT TIME OF SUBMITTAL RI,Building F_Grading (-DrainageF_Elec j-Mech rPlum Cu ydcutF CuvdFill F Project Address (Not mailing address) F7 Flood r Fire r Liq r Landslide [N/A Floor Suite No Description of Work Use F_ Const Type Lc #Stories 2 # Units (if Res)[ Valuation $( 8�b New/AddSF�— Remodel SF�— Garage/New/Add Material/Labor— OWNER'S NAME Last_14o A First N� ��/pr�R; GfZriST Owner's Address Owner's E-mail Address City _Iv - _. _ _._ State I L/1' zipFjj�661Telephone 7�::0 9Z.S APPLICANT'S NAME Last S (11 I j t { FirstI NQS Applicants Address Applicants E-mail Address 113 42 Gla N k o N T.=lt V-�v6U (�L �—I4 iP COK . city ANT la_ /� (� . _ State �— ZiP q�.70 $" Telephone -1 4 3 g ARCHITECT/DESIGNER'S NAME Last First �— Lic. No. F— Architect/Designer's Address ArchitecNDesigner's E-mail Address city I — State �— Zip Telephoned - ENGINEER'S NAME Last FY I A0 FirstQ i�14 fv& Lic. No. S Z Engineer's Address Engineer's E-mail Address IS7)-D—�RODILlFD4-LpW 49 city l SA VTA 4 AIA State CA Zip i_ b S TelephoneF-7/4 172, Q lass CONTRACTOR'S NAMEICOMPANY I ! A N e us ijj• f -`m � W St Lic No. 63 � (�(�b Class Contractor's Address JContractor's E-mail Address 11,141. CA N4 0 ik/ I City N l�Npr_ State 41� Zip `_%%OS Telephonel'71 4 E'IV� NO W SETBACKS REAR SETBACKS FRONT SETBACKS LEFT SETBACKS RIGHT PERMIT NO. PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ C,� L9 ' 2,c Worksheet for Combo Building & Solar Permit Application City of Newport Beach - Building Division r- Comm'I F_ Residential run r=- of nni ruFr-K FEES DUE AT TIME OF SUBMITTAL Building F -Grading r-Drainagev r Elec _r Mech j -Plum Cu Yd Cutl Cu Yd Fill Project Address (Not mailing address) r Flood r- Fire r Liq r• Landslide F -N/A Floor Suite No Description of Work Use F Const Type # Stories # Units (if Res)F— Valuations Material/Labor r V00 New/AddSF— Remodel Garage/New/Add— � OWNER'S NAME Last 00 First N� _WfooR1 lScj=S% I Owner's Address Owner's E-mail Address city Q _ State } zipf-19141.3. Telephone q�D92s— APPLICANT'S NAME Last S M 1 I 1 ( First #j646 Applicant's Address Applicant's E-mail Address 12349. pov&ts �tµii —,14 40 COY- Al -ter city state�- Zip _-1 S- Telephone 71 S7 feil o N �. ARCHITECT/DESIGNER'S NAME Last First F— Lic. No. �— Architect/Designer's Address Architect/Designer's E-mail Address ---_. _- city F� State F— ZiP F — TelephoneF_ ENGINEER'S NAME Last 1 p First 4 1 A16y Lic. No. S Engineer's Address Engineer's E-mail Address LSl o (�2oD pu bW S" City �la/v-CVr_ OV State Zip Qi- r1 Telephoned 14 662 oS o ` CONTRACTOR'S NAME/COMPANY S r.. r' I'1� GoaSi Lic. No. 4j3744 D Class NG-US Contractor's Address Contractor's E-mail Address GRNHDw Edi City S State Zip 4?,- S Telephone X14' is 19 1 ( / I SETBACKS REAR SETBACKS FRONT SETBACKS LEFT SETBACKS RIGHT PERMIT NO. PLAN CHECK NO.Z�A-) t91 - t al USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ Worksheet for Combo Building & Solar Permit Application City of Newport Beach - Building Division F- Comm'] F- Residential NOTE- of AN cuFr.K FEES DUE AT TIME OF SUBMITTAL 4Building F -Grading F -Drainage vF-Elec Mech rPlum Cu Yd Cut Cu Yd Fill Project Address (Not mailing address) C Flood F- Fire F- Liq F- Landslide CN/A Floor Suite No Description of Work Use F_ Const Type Q (1 L G 0 ► R. # Stories # Units (if Res)F_ Valuations [j Od Material/Labor b I Q New/Add SFF— Remodel SF' Garage/New/Add F— OWNER'S NAME Last 0 1W First Owner's Address Owner's E-mail Address City p /ii State �— zip4 Telephoned �� 2S l First — APPLICANT'S NAME LastS>M�l + Applicant's Address Applicant's E-mail Address 113 4� 1 (fA ( N- O 0 Tk':f L n , C, SNI ; n -k r4) C Ciry_C(4�A...AIV�._ State //�, ZiP_q�7o!Telephone 7i�n81i9/ J �--r^ ARCHITECT/DESIGNEWS NAME Last First F— Lic. No. �— ArchitecVDesigners Address Architect/Designers E-mail Address Cid, State F Zip F— Telephone -- ENGINEER'S NAME Last X ' r 0 FirstQ l�A N Lic. No. S Engineers Address Engineers E-mail Address State Zip Telephones 14 liL PS -Lo City I &tet D S� N`� I/�r _ � �1/ "TT v CONTRACTOR'S NAME/COMPANYLic. No.F6 .1 _71t 4 Class �+p/Cr11S �.�rt �NSi• Contractors Address Contractors E-mail Address 11- ra � �'A �14-1—GA�v(N�o ary I �./],a i-� 1 ��y/� State ZiP 1. l Z C_ Telephone -7 � !� SETBACKS REAR SETBACKS LEFT USE ZONE SETBACKS FRONT SETBACKS RIGHT DEVELOPMENT NO PERMIT NO. PLAN CHECK NO. Qq PLAN CHECK FEES $ Worksheet for Combo Building & Solar Permit Application ops City of Newport Beach - Building Division r Comm'I r Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL °w^" j (Building i- Grading j -"Drainage j-Elec F-Mech r' Plum Cu Yd Cut Cu Yd Fill F Project Address (Not mailing address) C Flood F- Fire F- Liq F- Landslide [N/A Floor Suite No ( Description of Work Use Const Type Ga4M # Stories # Units (if Res)7 Valuation $F*91 8�� Material/Labor New/AddSFF— RemodelSF�— Garage/New/Add- OWNER'S NAME Last D First Nt-vv (J0jti �S r Owner's Address Owner's E-mail Address Si City State �- Zip3 Telephone 9 9 63i pg as APPLICANTS NAME Last SM {[ t} First II mus Applicants Address Applicant's E-mail Address ► �N"X.Syws -I�Ea City S.0 �State Zip �S Telephone F14 S3 S I q/ .9�� ARCHITECT/DESIGNER'S NAME Last First F— Lic. No. �— Architect/Designers Address Architect/Designer's E-mail Address City State F Zip F Telephoned ENGINEER'S NAME Last x F p First / C.3,- Lic. No. S�� q Engineer's Address Engineers E-mail Address Is --Lo (�aOb4k4 QtnW ✓, 45 City . S rh wr a - A ove, State �- ZiP 9; S,... Telephone "%�(�. M_05 -/D Lic. No. 3744 ClassF CONTRACTOR'S NAMEICOMPANY NV6-a ITl i, GONS ( Contractor's Address Contractor's E-mail Address p':S,4ti CA ry IN �— 5 8 n4 City State Zip i'7 Dl— Telephone (1 SETBACKS REAR SETBACKS LEFT USE ZONE SETBACKS FRONT SETBACKS RIGHT DEVELOPMENT NO PERMIT NO. PLAN CHECK NO. O �I l '�La1il PLAN CHECK FEES $ Worksheet for Combo Building & Solar Permit Application ( Comm'] r Residential City of Newport Beach - Building Division .lir=. Di Ani rHECK FEE.n, nl IF AT TIME OF SUBMITTAL r_uilding F -Grading F-DrainageVF_ Elec yr Mech (-Plum Cu Yd cutF Cu Yd Fill Project Address (Not mailing address) [ Flood r Fire (- Liq r Landslide j -N/A Floor Suite No Description of Work Use Const Type t # Stories # Units (if Res)F— i Valuation $ p V New/Add SF Remodel SF�— Garage/New/Add �— Material/Labor .� t 1 O OWNER'S NAME Last �i 0 First N WPDR: GR �sS t Owner's Address Owner's E-mail Address City ... _..- State —ZiPr�i /KCp�� Telephone 94 0 I d�/ 21 - APPLICANTS NAME Last FS -41-15-t 1'5-1 l First Fl y, N zv� Applicant's Address Applicant's E-mail Address / 1134'L �('�N�f !VN 1 r/Z- - �NC+tISSWN{I-I (-�o� City I � A/ �•� State Zip �7 OS- Telephone l !� ARCHITECT/DESIGNER'S NAME Last First F— Lic. No. �— Architect/Designer's Address Architect/Designer's E-mail Address — �— City State �ZiP Telephone ENGINEER'S NAME LastV t First Q i Lic. No. Engineer's Address /� Engineer's E-mail Address szd (3MOoV,- 4yuLDW id 4S City c,-,1 t' f��I r State ZiP 9;�7 os` Telephone r y 662 1).5-/D CONTRACTOR'S NAME/COMPANY N &USSpw (%-rl-F /p NLic. No. 63 Class F ST Contractor's Address Contractor's E-mail Address SAN b a`41LI, n �j City �. lNt State Zip '1 S Telephone 7(4,% 6 SETBACKS REAR SETBACKS LEFT USE ZONE SETBACKS FRONT SETBACKS RIGHT DEVELOPMENT NO PERMIT NO. PLAN CHECK N0. lel 7�c� L PLAN CHECK FEES $ Worksheet for Combo Building & Solar Permit Application City of Newport Beach - Building Division r Comm'I r Residential NOTE: of AN rHFC:K FEES DUE AT TIME OF SUBMITTAL 0-1 Building rGrading j-DrainageF_ Elec rMech rPlum Cu Yd Cut7_ Cu Yd Fill Project Address (Not mailing address) C Flood r Fire r Liq r Landslide CN/A Floor Suite No Description of Work Use F Const Type L'cepwm� # Stories #Units (if Res). Valuation$ p 4900; Material/Labor ll I SF�— Remodel SF �— Garage/New/Add �— New/Add OWNER'S NAME Last I,l b First 1�� �WF,.11 t �ss r !J� Owner's Address Owner's E-mail Address Faty, Q - -_ State �— Zip �63 Telephone 749 r APPLICANTS NAMELast n . r l� First N� Applicant's Address Applicant's E-mail Address I��`—' 3-4—�. GUNPA/ 'zn jvt.�S s,� ML4 rj . M� :- City / ._ A (1 State r Zip Q�S Telephone 7j l I 1 C I 1 ARC'HITTEEf CTT/DESIGNER'S NAME Last First F— Lic. No. �— Architect/Designers Address Architect/Designees E-mail Address City State F— Zip F_- Telephone— ENGINEER'S NAME Last In o First 1 II A Lic. No. si g17XX /` Engineer's Address Engineer's E-mail Address City (� State �- Zip? /L -b t� Telephone '7 O S-10 CONTRACTOR'S NAME/COMPANYLic. No. W744D Classy 1,— NG-VSSM-t'f l -k Cq�s�` Contractor's Address Contractor's E-mail Address 4) 404140111 City%�'1 %-A_.('l�/t'' . .. State F Zip J_I7 7 OS;'- Tetephonel 714. S 30 I (PI SETBACKS REAR SETBACKS FRONT SETBACKS LEFT SETBACKS RIGHT USE ZONE DEVELOPMENT NO PERMIT NO. PLAN CHECK NO. L�) qL e -A91 PLAN CHECK FEES $- Worksheet for Combo Building & Solar Permit Application r- Comm'I I- Residential City of Newport Beach - Building Division ,, ... ruary =PQ Ili IF AT TIMF OF SUBMITTAL IVV IL. rlJ.l�v�v..• Building F -Grading r -Drainage F-Elec F-Mech F -Plum Cu Yd CutF Cu Yd Fill Project Address (Not mailing address) L- Flood F- Fire F-, Liq T- Landslide F_N/A Floor Suite No Description of Work Use F Const Type P+L G (':r , R # StoriesF� # Units (if Res) Valuation$ ��T._... New/AddSFF— RemodelSFF— Garage/New/Add Material/Labor t V OWNER'S NAME Last �D First ( J�I Owner's Address Owner's E-mail Address City _. - State F ZipI9 Telephone 94 b31 041 - APPLICANTS NAME Last SMIT t -k First Applicant's Address Applicants E-mail Address 17.3 47. Gan/ ,I� i .=rL t 4t6 S m, -r t4 �C� A . r City nn State r ���/-f Telephone Zip f 1-F-�% ARCHITECT/DESIGNER'S NAME Last First �— Lic. No. F_ Architect/Designees Address Architect/Designers E-mail Address City � State F'— Zip [— TelephoneF_ ENGINEER'S NAME LastO First 1 Lic. No. S-7-90/ Engineer's Address Engineer's E-mail Address I S lD QjW D kL-- %-k �9 L t .O V✓ City A - / �y State r - W /' ' , _ Zip 1917 I).&,—Telephone 7141 6 L Ono o �-�-- CONTRACTOR'S NAME/COMPANY _ ,� l 1'IN TI� ('(_ WS (—Lic. No. &7 444 Class�- Contractor's Address Contractor's E-mail Address 12342 GNkDn� IES City - S�Y.r�- PW A- State �C ZiP .R .--Telephone 7t4 if 9 SETBACKS REAR SETBACKS FRONT SETBACKS LEFT SETBACKS RIGHT PERMIT NO. PLAN CHECK NO.lGj USE ZONE DEVELOPMENT NO PLAN CHECK FEES $