HomeMy WebLinkAboutX2020-0258 - Permit Applicationint atm,, Worksheet for Combo Building & Solar Permit Application
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(- Comm'] rResidential City of Newport Beach - Bultding Division )(.20,20- 0,2SR
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building r-, Grading -Drainage F,-,, Elec r-, Mech
r .. 17 Plum Cu Yd Cut F Cu Yd Fill
Project Address (Not mailing address) F Flood f-,, Fire F-, Liq r- Landslide r_N/A Floor Suite No
905 S
05SPRING TIDE F_
Description of Work Use -3/U ConstType -F B
SECOND FLOOR MASTER BATH: REMOVE BATH TUB AND SHOWER. REPLACE WITH NEW FR
SHQ44RAND REDUCR THP 917r QrT14F =XKTING &ATHR00A.4 ININIXAN. # StoriesF27,' # Units (if Res)F
Valuation $
New/Add SFF-1 Remodel SFPT� Garage/New/AddF__ Material/Labor $10,000.00
OWNER'S NAME Last GARFINKLE First V I.,
I de Fr
Owners Address Owner's E-mail Address
�05 SPRING TIDE
City NEWPORT BEAC - H State CALIF. Zip 192660 Telephonel
APPLICANT'S NAME Last CARO First PAMES
Applicant's Address
114 GLI 11 MW 1 00 1 D
City IRVINE, State CALIF.,
Applicant's E-mail Address
AS-CARO@COX.NET
Zip R 949 b000 2208
.�F, _7 Telephone F
ARCHITECT/DESIGNER'S NAME Last CARO First JAMES Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
14GUMWOOD PS-_CNRO@COXNET
State CALIF.ip Telephone 49 500 2208
City IRVINE F
ENGINEER'S NAME Last First F Lic. No. F
Engineers Address
CityF-1.
State
Engineers E-mail Address
.- -1-1-
Telephone
zlPF__1_,1i F
CONTRACTOR'S NAME/COMPANY Lic. No. F Class F-7
Contractor's Address
City State
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT
USE ZONE
SETBACKS RIGHT
DEVELOPMENT NO
Contractor's E-mail Address
Zip Telephone
PERMIT NO. �,u IX) _W
PLAN CHECK NO.
Trib
PLAN CHECK FEES $