HomeMy WebLinkAboutX2020-2735 - Permit Applicationtint rm Wor et for Combo Building & Solar Permit Application o�EWPQ
City of Newport Beach - Building Division ozo ) 0 4
(-• Comm'I Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
'(Building r GradingrainageXElec ,-NMech Plum CuvdcutF— CuvdFill F_
Project Address (Not mailing address) C Flood r Fire ✓- Liq r Landslide �/A Floor Suite No
`306'11 rOIl /5'-t7 -r �,�rJv�� *OilN4 M Pr�l 1
Description of Work
Use Wonst Type
#Stories #Units (if Re�j� '► '}
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Valuation
Material/Labor .
New/Add SF 1, 5" F, Remodel SF I o Garage/New/Add
OWNER'S NAME Last First
Owner's Address Owner's E-mail Address
City W Y StateFET� ZipZ� 9 Telephone
APPLICANT'S NAME� '36 rm
Last First � � L
Applicant's Address Applicant's E-mail Address
City State C Zip-fitZ62 Telephoner6�
D SIGNER'S NAME Last First b{ Lic. No.
Architect/Designer Architect/Designees E-mail Address
r'9 101A
City G j State I '� ! Zip �(� , Q'� Telephone 5 b L"6,/ 3`- '11,6 j.6
ENGINEER'S NAME Last First -/ Lic. No. �i '9 D
Engineer's Address En ineer's E1 -mail Address
C� c
Qo qr0, eS 7°' Mem C4Yrs
State Zip ' Telephone�j 3 2�i'Q�
City �� 9
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CONTRACTOR'S NAME/COMPANY ! ``,, Lic. No.F112LI17 Class F
Contractor's Address Contractor's E-mail Address
29�i1 / 4 1 f 9
1'�r SC7i t+llor,+�e _-F., tor.
City Ge5)p A1.0 . State C �. Zip . '�Z( `C Telephone (^i49) nc-C'S"v
SETBACKS REAR SETBACKS FRONT PERMIT NO. xZ0 t - 6 y
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. q
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $