HomeMy WebLinkAboutX2019-0555 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
r Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
1 -Building j- Grading F -Drainage j-Elec Mech r Plum Cu rdcutF Cu Yd Fill
Project Address (Not mailing add ess) C Flo d (— Fire r Liq F Landslid CN/A Floor Suite No
10 L, Lu�.>J �. 1 a S
F_
Description of Work
Use F—ConstType
2 CnL�
#Stories # Units (if Res)F—
•
Valuation$
1�1�00
New/Add SFF Remo el SF
Garage/N /AddFMaterial/Labor
OWNER'S AME L st.e G�i First
WPli \
Ow�ner's,Addre
Owner's E-mail Address -
I d7U 1 Y �ar_%t S
city _ N ij _ . state
ZIP 916 63 Telephone 9 4 9 _611
O R 2
APPLICANTS NAME Lam f rTt
J
First /1lv&v5
Applicants Address ��//]
Applicants E-mail Address
_II''LI UANKOIV, :rL
City NT / Staf ��
1 I.N{� . .
Zip R[ 7 t7 sS Telephone -7 F 19�
ARCHITECT/DESIGNER'S NAME Last
First �—Lic. No. �—
Architect/Designers Address
ArchitecUDesigners E-mail Address
City State �—
Zip �- Telephoned—
ENGINEER'S NAMELast I /.ta,0
First a Lic. No.
Engineers Address
Engineers E-mail Address
(_5'�7.ON( l+0La.JW
41
city N State
S� vf't
zip -I 0S` Telephone) 71 � US
b61 ID
CONTRACTOR'SNAME/C PANY Rr1K.�1i C - ItI+ Lorusi Li` No.F6-3: 44o Class
-�`'L
Contractors Address
Contractors E-mail Address
Cdy S kx (3M A- State 1 CA
Zip G%i.7 OS Telephonel'I�3� 119
SETBACKS REAR SETBACKS FRONT
PERMIT NO. ✓✓�" i ' V��
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USF 70NF
DEVELOPMENT NO PLAN CHECK FEES $