HomeMy WebLinkAboutX2020-1880 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Asion pplication
Comm'I r Residential NOTE: PILAN HECK FEES UE ty of Newport Beach - AT TIME OF uilding ISUBMITTA" Ou ~ Iwo
Building F- Grading F -Drainage 47 Elec
Proiect Address (Not mailing addrei
Description of Work
�( Mech ' i Plum Cu Yd Cutl Cu Yd Fill
:: Fire /Liq F- Landslide F_N/A�Flo�or 6
1
Suite
rr No
i
Use 7L Z Const TypeI-A
# StoriesFc—, Units (if Res)
Valuation $
New/Add SF�— Remodel SF 237 p Garage/New/Add Material/La
OWNER'S NAME Last First
Owner's Address
.City. __... State
APPLICANT'S NAME Last I Sll1VlJR4
Applicant's Address
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City ! vSW)D(��•T rl State
ARCHITECT/DESIGNER'S NAME Last I �� 1 uT,
' e y/�
r ' s6� igher's Address
City liz�rw 0EQ1VIl State WT
ENGINEER'S NAME Last I /( af� _
rEngineer's Address
I -3 P6,7 1&12cd T
City /L V�'�'t)'t--F k�ACEl _ State C�
Owner's E-mail Address
Zip F— Telephonel—
First l IVIA Lt _-
Applicant's E-mail Address
JC2
Zip/ ,7_6 S Telephone) ?70 --?2/.-o 30
�Firstr--(r'�% (/ Lic.No.-267S',r-_
Architect/Designer's E-mail Address
y-'���//�
Zip r? Telephone'�''P
First S71,)W\ . Lic. No. O/ S CI -17
Engineer's E-mail Address
Zip l?660 Telephone
CONTRACTOR'S NAME/COMPANY ,� /. Li No. l ovFO.—W Class Fell
Contractor's Address
City State
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USE ZONE DEVELOPMENT y i DEVELOPMENT NO
Contractor's E-mail Address
Imo, � �,�
Zip (i/r.]/�/�.f Telephone
PERMIT NO. 4~6
PLAN CHECK NO.
PLAN CHECK FEES $
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