HomeMy WebLinkAboutX2019-2156 - Permits (2)Print Form> 'I W heet for Combo Building $ Solar Permit Application
( omm'I Residential I ' � l City of Newport Beach - Building Division '� QIP 241y0
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building rGrading ainage [Flet (-Meth rPlum CuvdCutF cuvdrillF
Project Address (Not mailing address) r Flood r FI(e3(Li ,� andslide r_N/A Floor
HW
Suite No
.._.._._.. _._.._..
Description of Work Use ConstType h fJ
Yx5
U �Vl • V' 0 ! Y 1 (I u m • C /' 2 #Stories #Units (if Res)
PCO gcry II*Clfi er5. LZ) panels Oneu(sfli) _p-ylonlI-ufiHK_
W nirJq`-,Valuation $ I S, Jr�(�. �Q..
New/Add SF� Remodel SF p
Garage/New/Add rwn-, Material/Labor)
--pne-I5 -
OWNER'S NAME Last IW,L49aw_lar) _ First) L`O
Owner's Address Owner's E-mail Address
��4_I_d e l ine n12_d/' p
City Iv Qo(4 4�'or { 1 State CIL Zip Z �0� Telephone "f� (/ �7"
APPLICANT'S NAME Last -�first
Applicant's Address Applicant's E-mail Address
ZZ31S1•� Dtipor7+__�r ___ CGnOIi �Sl�jng e -Solutions �d
City [� Q vl e I VYl State n -A Zip Di Z 1j D(o Telephone `J/ y. 3i g . -J(y Sy
ARCHIT /DESIGNER'S NAME Last I First `tp ®�' ►1YI % .�JL % Lic. No.
Archite Designer' ss; Architect/Desi'ginn-errss''E-mail �Address
City State F Zip F Telephone
ENGINEER'S NAME Last First F Lic. NoF
Engineer's Address Engineer's E-mail Address
City State F Zip F TelephoneF—
CONTRACTOR'S NAME/COMPANY S l�gh�e e L p) u� )On yJ Lic. No. &VJ1Z&:,C Class
Contractor's Address Contractor's E-mail Address
2231 _ S • Dujoon-f, _ Dr- . -__ sand i ®S)gnq 2 __lo /u4ion S .Ca`»
City Q0CJhe/m State I Lf/ Zip 92LPQ(o Telephone 7//-/. 44/• OZ94?
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT
SETBACKS RIGHT
USE ZONE DEVELOPMENT NO
PERMIT NO.
PLAN CHECK N0. +
PLAN CHECK FEES $