HomeMy WebLinkAboutX2020-2911 - Permit Application[ Print Form i Work et for Combo Building & Solar Permit Application
Comm'I j— Residential �x/ City of Newport Beach - Building Division ) jow I)
/ ' ) NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
m
G4[O0.VJ3
PZ,Building r Grading F -Drainage Elec XMech r Plum cu yd cut uYd Fill
!!l
Landslide !N/A Floor 'Sail No
Project Address (Not mailing address) rl Flood r Firer Liq r r o
hf'YO (let, C � U 230
V610 KA -?- _
Description of Work o° gorwTkinari aDK ND ow
UseConst Type
is r P aLv z n
# Stories{ # Units (if Res)
4%4F-!
D anf; slsaO-t8,�1 S t�FLDw An/O maw q=f e�aS c1� t' 'rt+IeN4 t+w�T i
Valuation $ /
Material/Lab
New/Add SFF . Remodel SF - 0 Gara e/New/Add '
g
OWNER'S NAMELast
H9�F Sn W,+L;r� INV��s t.ow'I>:FG(•' A}ttik t�R-�W'f
Owner's Address m'?
Owner's E-mail Address
Z PAF¢► - P,4,2-6-4 , 5rE I -VO
City IF-V(r1 StateL�
�� Zip o2tr/y Telephone
1411, y/:V 13y4,
APPLICANTS NAME Lastr First
S�� PiA}IUN W(f [ RWSI Ct'nJ
Applicant's Address Applicant's E-mail ddress
3/5-D VRiSTVL C -F, 5re 7-r;ua e sfMc&f—oc C 0`1
City GySTir M��y State Zip cJ2`y� Telephone yi4i J24 iy9ti
ARCHITECT/DESIGNER'S NAME Last 0/Uc�R�'DrJ �I First-j-�Ic-/t4 Lic.No.�l,
Architect/Designer's Address Architect/Designer's E-mail Address
Telephone a�
City �S� /LI SSA- State Zip �i2L2¢ t�GL y , l N'9`/
ENGINEER'S NAME Last PPA- First I (,emTftT-: g,e,v Fq, Lic. No.r
Engineer's Address Engineer's E-mail Address
City rN% State Zip sjytTelephone 9yq.sxz •ly9l
CONTRACTOR'S NAME/COMPANY ���� '} �1 Lic. No. Class
Contractor's Address Contractor's E-mail Address
�
—L
City ( � State U�, Zip 1 Z� (i 3 ' Telephone `(`ivl����� . `l��z' - �7 -4f <-7
x
SETBACKS REAR SETBACKS FRONT PERMIT NO.Q
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK N
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $