HomeMy WebLinkAboutX2020-0396 - Permit Applicationinlor sli t for Combo Building & Solar Permit Application oF;Ew e
Comfn'I 7 «n - _entiai City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTA
Building Grading itbrainage rElec '?CMech Plum Cu YdGut�� cuvdR11, �aU
Project Addiess (Not mailing address) Flood F' e , Li Landslide i NSA Floor. Suite No
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d Description of Work Use ! Const Type a_
� # Stories,' � Units (if Res):y
{_ r� G.�� Valuation$ ,DO �a D
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OWNER'SAlAME Last; ^I First~
Owner's Address
41,il� DwnersE-mail Address
City Dnr_ State • Zip 022, Telephone 1D
APPLICANT'S NAME Last! l i First
Applicant's Address Applicants E-mail Address
City -{— State (��- Zip Telephone, 6✓2a
ARCHITECT/DESIGNER'S NAME Last's )� First jjtjdHLic. No.,
-ArchitectlDesigner's Address ' : Architect/Designees E-mail Address
City i State Zip Telepho7(e
ENGINEER'S NAME Last r+ � � First Lic. NoJ
Engineer's Address Engineer's E-mail Address
City j State�— Zip.; moi' of Telephone 1L}+0 �j c6L.
CONTRACTOR'S NAMECOMPANY ] L- Lic. No: { Class'
Contractor's Address - Contractor's E-mail Address
C-4 ' State _ Zip,, Telephone, y1
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. RJ:
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $