HomeMy WebLinkAboutX2017-3737 - Permit ApplicationNew/Add SF; F
OWNER'S NAME
Owner's Address
I Remoodel SIFj7— Garage/New/Add F-
Last 1 4_'
-�1 I DC;_V7V, k4 Firsts �
Owner's E-mail Address
Use Const Type �—
# Stories— # Units (if Res)F—
Valuation$ F_—
Material/Labor
( ��►YC !
aty"p/�'` ��_ 1
F_ IV'dy�/V Q��L1, State ZiP.�i.. Telephone
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APPLICANTS NAME
Last I First
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Applicant's Address R to , �-p n 21
`�0l Applicants E-mail Address
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City o State C, Zip �2�! Telephones
ARCHITECT/DESIGNER'S NAME
Last I First Lic. No. �—
Architect/Designer's Address . Architect/Designer's E-mail Address
City I -
State :Zip Telephoner
ENGINEER'S NAME{
Last. Firsts
I Lic. No.i
Engineer's Address Engineers E-mail Address
114
CiState ;l (r�. ZiP I 01 5' Telepfiane 7(q 16 37
CONTRACTOR'S NAME/COMP 1 t� p
Lic. ✓!L%�f� Class,
Contractor's Address Contractor's E-mail Address
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City i^ State I0 Zip I�ji �.r.?b✓� Telephone°��_', /
SETBACKS REAR SETBACKS FRONT PERMIT NO. �'`
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE. nFiiGo-nr�nXr=n: arr.
Worksheet for Combo Building & Solar Permit Application
Comml
F— Residential City of Newport Beach - Building Division
€
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
]—Building
F_ Grading (—Drainage j Elec F -'Meeh [—PlumCuvdcutl
CuvdFill F_
Project Address (Not mailing address) F_ Flood F— Fire F- Liq F— Landslide
L._N/A Floor
Suite No
W e.F_�—
New/Add SF; F
OWNER'S NAME
Owner's Address
I Remoodel SIFj7— Garage/New/Add F-
Last 1 4_'
-�1 I DC;_V7V, k4 Firsts �
Owner's E-mail Address
Use Const Type �—
# Stories— # Units (if Res)F—
Valuation$ F_—
Material/Labor
( ��►YC !
aty"p/�'` ��_ 1
F_ IV'dy�/V Q��L1, State ZiP.�i.. Telephone
®—
APPLICANTS NAME
Last I First
f: r\
Applicant's Address R to , �-p n 21
`�0l Applicants E-mail Address
mob ; vs��a ` � a�Anool~UN�,�,w
City o State C, Zip �2�! Telephones
ARCHITECT/DESIGNER'S NAME
Last I First Lic. No. �—
Architect/Designer's Address . Architect/Designer's E-mail Address
City I -
State :Zip Telephoner
ENGINEER'S NAME{
Last. Firsts
I Lic. No.i
Engineer's Address Engineers E-mail Address
114
CiState ;l (r�. ZiP I 01 5' Telepfiane 7(q 16 37
CONTRACTOR'S NAME/COMP 1 t� p
Lic. ✓!L%�f� Class,
Contractor's Address Contractor's E-mail Address
®10PiI�iR2o{(UL(NLj`C$v,
City i^ State I0 Zip I�ji �.r.?b✓� Telephone°��_', /
SETBACKS REAR SETBACKS FRONT PERMIT NO. �'`
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE. nFiiGo-nr�nXr=n: arr.