HomeMy WebLinkAboutX2019-1851 - Permit ApplicationWo YI t for Combo Building & Solar Permit Application (rdgq-0Z3
F- ResidentialCity of Newport Beach -Building Division ?C'ZAI�I - �� NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
F -Building F_Gradingrainage [Elec F_Mech
F_Plum Cu Yd cutF— Cu Yd Fill F_
Project Address (Not mailing address) F_ F -re i (— Landslide CN/A Floor Suite No
I aao 3a l bda
Description of Work
Use Const Type
I r
#Stories # Units (i es) 1
Valuation $ —�
Material/Labor
New/AddSF7 emodel5 Garage/New/Add
OWNER'S NAME Last 11 1 C Z C First u 1 i
Owner's Address
Owner's E-mail Address
Igyly 13i�Ch �r
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City I o 0(-) -4 ti n _ _. CA'_�`Q.
..._ State .. l,' I
Zip . qa - 1770 Telephone j v9- r7- d99 -e
APPLICANT'S NAME Last e Sri 6,e- First I IA I I C
Applicant's Address
Applicant's E-mail Address
Mill _ (S-4-,jull��ncbaae�maQi
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City_.1�( IV7.In 1d�_-_ _- State C�
Zip d(70 Telephone (ryh_0_ /yo7 /
ARCHITECT/DESIGNER'S NAME Last
First F— Lic. No. �—
Architect/Designer's Address
Architect/Designer's E-mail Address
City �_ _ State F
Zip F Telephoned
ENGINEER'S NAME Last n Ci �CU
FirstDd Vj Lic No.
Engineerj's Address
Engineer's E-mail Address
j
City ravofm n it P state _. -
Zip) T UK Telephone /i 4 - —3q7- 60 V1
CONTRACTOR'S NAME/COMPANY
Lic. No. F Class
Contractor's Address
Contractor's E-mail Address
City i State
Zip �— TelephonelF
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
PERMIT NO.
PLAN CHECK N .
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $ 'G�