HomeMy WebLinkAboutX2019-0559 - Permit ApplicationWorksheet for Combo Building &. Solar Permit Application
City of Newport Beach - Building Division
[- Comm'I (- Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[-.Building F- Grading F -Drainage r Elec
Address
a -D _.._Wt
of Work
F- Mech L- Plum cuvdCut I
F-_ Flood r Fire j- Lig r Landslide
S— Garage/New/Add
New/AddsFF — Remodel SFI
OWNER'S NAME Last
Owner's Address
ST
City[ S(AhrrA "
r First
Owner's E-mail Address
State d Zip
APPLICANTS NAME Last
Applicants Address
I W& 41 (k vv ry _ 05
City F C n.e/-rra, IVPC-_. _
State
Cu Yd Fill
I
r -N/A Floor
suite No
Use F_ Const Type F
# storiesFE # Units (if Res)
valuation $ 91.00
Material/Labor
First 14 +/6,115
Applicants E-mail Address
Zip 9 27 OS Telephone �/ g if 9
ARCHITECT/DESIGNER'S NAME Last First F — Lic. No. �—
Architect/Designers Address Architect/Designees E-mail Address
City �—
State �— ZIP 7— Telephone -
ENGINEER'S NAME Last x � 4 0
First Q 1 A n/Cv Lic. No.
�—
Engineers Address
I S 7, 0 %1WM\-tis
City State
AAjN
Engineer's E-mail Address
Zip l &7POS- TelephoneF7 1� 1 3g l i e) /
Lic. No. 1 637 440 Class d3
CONTRACTOR'S NAME/COMPANY �a�.�s r I+ GL
Contractors Address Contractor's E-mail Address
)'3S ¢� AM orgy ► �.
�r State Zip 9' 0,� Telephoned 714 g 4t
CitySPt IVB A _ .._NIA
. A _i iQ
SETBACKS REAR
SETBACKS LEFT
USEZONE
SETBACKS FRONT
SETBACKS RIGHT
DEVELOPMENT NO
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEES $