Loading...
HomeMy WebLinkAboutX2017-1857 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application�6" ", Comm'1 (- Residential City of Newport Beach -Building Division o NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL °u.��" rBuilding FGrading rDrainage rElec j-Mech F7 Plum Cu Yd Cute- Cu Yd Fill Project Address (Not mailing address) - _ food j- Fire Liq F- Landslide CN/A Floor Suite No z �— 20 G b YJ C r�rV A-- � u✓c l 13 C(� C/1-266 Description of Work Use R Const Type 1. g # Stories #Units (if Res) Ewtai o' S F'l OF �X J7du6 Rau iia+ -n✓( �/1 ��€��t iZ✓L f2 a A04+4W)9GvL - Valuation s 70� J 3 Material/Labor 7 New/Add SF (j � Remodel Flj 2— Garage/New/Add — OWNER'S NAME Last F;4-1," /LFirst Owners Address Owner's E-mail Address 2(lt vt���P�� _�dp� City " {0OVL/`- rti''_Itf State G]�-" _. Zip : telephone 5�0 s� %7 Y2 - APPLICANT'S NAME Last l-©6 I / L,�:yk Applicant's Address Applicants E-mail Address City�S�v15Af t - - - State C _ Zip F - D /' Telephone 6 9-6 ARCHITECT/DESIGNER'S NAME Last ��t—� First Z/ Q Lic. No. Q% 0 °U l Z- Architect/Designers Address Architect/Designers E-mail Address f3�_ 5e_ _HvPs of _,� 3 - _ 1i,e T6.,4�2cae ,tip; Cin City State ef- ZiP /�/ 0� TelePhonelGi '1 pn ENGINEER'S NAME Last L / O First 11 S Lic. No. ,�+c 610 C/ Engineers Address Engineers E-mail Address (RCJuI � %4(V / a/ _ 'L /u'l.; Pas C -A16 "'Ai lfw1 City 6 L f+OD`Qfj- State I C-,+ Zip 1 7 /7 t./ /� Telephonel C 7 rpl 6 Sp l9 7j �r� f CONTRACTOR'S NAMEICOMPANY Lic. No. �- Class - Contractors Address Contractor's E-mail Address I City I State Zip Telephoner r�v ^ 1 SETBACKS REAR. .Z ` (o � SETBACKS FRONT � / PERMIT NO. y r, r. 1 r NO. rl SETBACKS LEFT ..'3 O SETBACKS RIGHT % b PLAN CHECK VS, ­ZONE"_ ._......._ ... ..._,. DEVELOPMENTNO'AarwIa PLAN`CHECK'FEES$ r