HomeMy WebLinkAboutX2020-0930 - Permit Application?nrat dorm Worksheet for Combo Building & Solar Permit Application
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Comm,l Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Via„
[-Building [-Grading [—Drainage [-Elec [-Meth [-'Plum Cu YdCut
F_ Cu YdFill F
Project Address (Not mailing address) Flood [- Fire [- Liq F, Landslide [-N/A Floor Suite No
60, base
Description of Work
Use Const Type F
r # Storiess # Units (if Res)F
i
New/Add SFr— Valuation $
Remodel SF Garage/New/Add ��' Material/Labor O ®Q
0:
OWNER'S NAME Lastl I't`9t�(!-. First. 4�S�q - �/((7(�
r
Owner's Address
Owner's E-mail Address
City—�� State Zip F____7 Telephoner
APPLICANT'S NAME Last
� J 9Val,n First a. ,..
Applicant's Address 0 Applicant's E-mailtAddress'I `
rSor
lv
City !� State Zip '126 3 Telephone 31�`�Qrp. Qh9
ARCHITECT/DESIGNER'S NAME Last ��f
First I Lic. NNoo.
Architect/Designer's Address Architect/Designer's E-mail Address
City f � State F_ Zip F_ Telephoner
ENGINEER'S NAME Last
First F�' Lic. NoF�',
Engineer's Address Engineer's E-mail Address
City �— State �— Zip Telephone
CONTRACTOR'S NAME/COMPANY Y\ U VV �( h Lic. No. -I tjSS 1 0 Class'
Contractor's Address l� +Crontractor's E-mail Address
NrV` eta �toS, com
City r�i � State ZipF?_a _e Telephone
SETBACKS REAR SETBACKS FRONT PERMIT NO. K7,t JZ (A-�Sd
SETBACKS LEFT SETBACKS RIGHT 1 PLAN CHECK NO. /19 6Sa ._ Z_02
USE ZONE DEVELOPMENT NO ��(}�� ti I (� PLAN CHECK FEES $