HomeMy WebLinkAboutX2020-2945 - Permit ApplicationxPrin)wForrri; ,� ': "1�Vorksheet for Combo Building &,Solar Permit Application o4?�"'°�a
[ Comm'I Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building [-I Grading
[Drainage [Elec [Mech [Plum Cu Yd cut17Cu Yd Fill
Project Address (Not mailing address) [ Flood [I Fire [] Liq [] Landslide [N/A Floor Suite No
3211 — RyaPJ -
sl-- New�m✓ Rem-- ch 42,MS
Description of Work
Use F—ConstType F_
/�
Gone
8 r4 DU
# Stories # Units (if Res)
--------------
Valuation 5r'0560100.60
Material/Labor
New/Add SF jet (
Remodel SF�— Garage/New/Add �
OWNER'S NAME
Last /C U t �jq y First F1y0W,/oyy✓L
Owner's Address
Owner's E-mail Address
3ZIf �v $ unarm � OJIa0. Cry^
City ► V e W Rl U State C - ZIP %Z66 3 Telephone�—
APPLICANTS NAME
Last 4 A-4 1 First ik-, S
Applicant's Address
Applicant's E-mail Address
25121 GxrroU►''
wto lt� �, - otib� c�x � ® IR- 01. cet.�
City 1�f1'Sf 1,07AU
State G Zip qjq `l Telephone qua G Q
ARCHITECT/DESIGNER'S NAME Last First I Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
- -
City
- -
- State zip[ - - - - -- Telephone[
ENGINEER'S NAME
Last �— First F_ Lic. No.1!
Engineer's Address
Engineer's E-mail Address
--- -
City �
- - -
! State F Zip C; Telephoned
CONTRACTOR'S NAME/COMPANYr nl� "c:No.�f`i;��`�Class
Contractor's Address
Contractor's E-mail Address
Z e�reso< �� Rez�ko.;�CYwc Ec�t�
-
City V, O State C%a Zip .qZ6 Telephone Olt L41 'OPS
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS,LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO_ PLAN CHECK FEES $