HomeMy WebLinkAboutX2020-2978 - Permit ApplicationN Worksheet for Combo Building & Solar Permit Application
F7, Comm'] N Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Project Address
j XFnlood I rip a,vdCut � cuv Fill
Buildin [ g Drainage Elec
ress Not mailingaddress [ Fire (- Liq Landslide /A Floor Suite No
Lj ?2\ CwA\and fir. Cofonq 46 vnar, Cfl 9262
Description of Work Use TQII IConstType
# Stories # Units (if Res
L l
)
Valuation $
New/Add SF sPj Remodel SF I )5cF6 Garage/New/Add 4 9 Y Materla
"Labor
)
1 -
1-►�Y1CI.U(C'rP���E
OWNER'S NAME Last I K)10.f o\�c M'1
Owner's Address
�-L-F721 Caxilovld Or.,_ Corona die-1rrw�'r-_- _
City COfO`(1a &I voy .1 State
APPLICANT'S NAME Last I ZolayhaY
Applicant's Address
g2 IT rwood\and dywe
City 1„`Cy V1IL - --_.- State FA
First I A V,
Owner's E-mail Address
an oy, (+I @ qol Covn
Zip F-3--7 6 2 5 I Telephone 949 396 - /w 'm
First �adA11 -
Applicant's E-mail Address
Lo,jal')_ SRI �ck,g af'1 20Oµ ci (A ,, Zo, uyyj J
Zip 9a 6Telephone 949_$70_��,
�� 9'1
ARCHITECT ESIGNE S NAME Last rZ0l - J h
o },ar' First oC�oY1 Lic. No. q
Architect/Designer's Address
$2 HOvenwood - — ---�
City V u:Y1C State C�1
Architect/Designer's E-mail Address
Lcu�ap_ Zo1?cbh%6 2Da9 �Jc car loo CDth _1
Zip 9261�f l Telephone 9' y-$`ro_rjtj$c�
ENGINEER'S NAME Last First Lic. No. 679 H
Engineer's Address
City {{jU�N�,J State
Engineer's E-mail Address
Ahmad.@ ok�avc>l�-n Cpm
Zip P71 30 � Telephone a Ig _ $i�
CONTRACTOR'S NAME/COMPANY Klass' Q\aNS Lic. No. ( 5 92(tJ Class -d1 ,%91
Contractor's Address
City OYaft _ State ) v` I
G
SETBACKS REAR
SETBACKS LEFT 6'_ D'
USE ZONE _/7' /-6'OGU
Contractor's E-mail Address
k(asS c P)a115 C yma,\ . cob
Zip 92g 66I Telephone "r -W� -IJO
SETBACKS FRONT JW3S
SETBACKS RIGHT
DEVELOPMENT NO
PERMIT NO. 7.0' `/" �11/ 2s
PLAN CHECK NO. 0
- f�/ 1
PLAN CHECK FEES $ 4 0, If -7