HomeMy WebLinkAboutX2020-1075 - Permit ApplicationI"P?lnt Fore, Worksheet for Combo 'Building & Solar Perml;t Application
IR Comm'I Residential City of Newport Beach - Building Division nu- t 0�,5
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMi 7AL
Fx.Building r Grading
FDrainage F7 Elec F Mech r- Plum cu ut Cu Yd Fill
yd c� F F
Project Address (Not mailing address)17 %2d r— FireLiv� ' dslide r_N/A Floor Suite No
� an*
1445 E Pacific Coast Highway F__
k-4-� —
Description of Work
Use Const Type F
# Stories F7 # Units (if Res f
lwwawly Uu11ju[1 jot.
g on existing parrang
Valuation $
Material/Labor 45 000
New/AddSFJ 3
Remodel SFF—Garage/New/Adcl F_.
OWNER'S NAME
Last First
Owner's Address
Owner's E-mail Address
City
State Zip F—TelephoneF777777
APPLICANTS NAME
Last Isuprock First [Connor .. . ...... . ... ... ....
Applicant's Address
Applicant's E-mail Address
1490 Quail Ridge Dr
icsuprock@scoutserAces.com
City lWestmont
State IL Zip [6055 -
Telephone 6O8416 1577
ARCHITECTIDESIGNER'S NAME Last First Lic. No. W701
Architect/Designer's Address
ArchttectflDesigner's E-mail Address
City
State F Zip TeIephoneF7.__.____.__
ENGINEER'S NAME
Last`MVVV� Firstj 'VN V Lic. No
v IJ
Engineer's Address
1_
Engineer's E-mail Address
, -. . . __-
City
------------ ---- -- __ ..... .. .. .... ..... .......... -1 --------- -
state F_ ZIP I- I-— .. ........ . ----- -- . Telephonel ---
CONTRACTOR'S NAME/COMPANY TBD U In Lic. No. F1 Y r/(9 () s -Class
Contractor's Address
Contractors E-mail Address
b -erCj_rke
City I C Telephone
OS4-A State A Zip F?�ZZZ F? I
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK No.0-7
,
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES$