Loading...
HomeMy WebLinkAboutX2017-3573 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application F- Comm'I Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL [-Building j Grading rDrainage (-Elec rMech F -Plum Cu Yd cutF Cu Yd Fill Project Address (Not mailing address) C Flood f— Fire j- Liq F_ Landslide CN/A Floor Suite No lit. __ Description of Work Use F_ Const Type F a SrTSLE)) T�Tc-lttVig /G.Y - fZt e irar-ro # Stories)— # Units (if Res) l FrI.P, 7_ - Lir G /-1 4 ^',�, c -L. l r r-TPi-Q - Valuation / 0 0•,�_ New/Add SF Remodel.SF SFQFi Garag a/New/Add • Material/Caa bo i OWNER'S NAME Last I First Owner's Address Owner's E-mail Address 1 City _. State , -- - 7— Zip F— Telephone APPLICANT'S NAME Last First Applicant's Address Applicant's E-mail Address City - - _ - State I-- Zip Telephoner ARCHITECT/DESIGNER'S NAME Last , First Lic. No. �— Architect/Designees Address Architect/Designer's E-mail Address City State I Zip F- Telephoner ENGINEER'S NAME Last j First— Lic. No.�s Engineer's Address Engineer's E-mail Address City State Zip;® Telephone) CONTRACTOR'S NAME/COMPANYLic. No. S (D(o �I�� Class GIG-Sco SIC,tiI L-vG• Contractor's Address Contractor's E-mail Address a(//3 A -m S LZ -2 sT /©y w�s�oS, I e,'A� s: . ._City j J_C iq'NLE --. -Sfate -� l Zip! 7r�SbJ`- T-elephone SETBACKS REAR SETBACKS FRONT PERMIT NO. PLAN CHECK N0. SETBACKS LEFT SETBACKS RIGHT USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ I