Loading...
HomeMy WebLinkAboutX2021-2788 - Permit ApplicationPrint Foirm Worksheet for Combo Building & Solar Permit Application?`"°�Ra �\Comm'I r Residential City of Newport Beach - Building Division X 702 X " 23 W r" NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 30SO E (XY94 °<qoa+" Puilding F_ Grading rDrainage,.(E,'Elecch ! �--Murn CuvdCut l Cu Yd Fill F_ ti Project Address (Not mailing address) r FloodF- Fire r Liq F_ Landslide L-N/AFloor Suite No 3c)s0 G- C_c)c(& - H w•r r I __- Description of Work Use F—Const Type F_ 1r�tX� nY mac{{ kv r 1cro \k- I�Tnr Dy2� # Stories; # Units (if Res)[— Valuation $ Material/Labor t New/Add SFF—Remodel SFF2 rot5(-j Garage/New/Add OWNER'S NAME Last First Owner's Address Owner's E-mail Address City State Zip F77777 Telephoner---- APPLICANT'S NAME Lasty _. _._......_ First Applicant's Address I Applicant's E-mail Address 2cr21 Vi0. Sob _ ©c �ervv�'i &ervi tzSCvwZ<I. Go 1 City s( uZ State zip ai 2iaZ3._ Telephone q cl e}-; ARCHITECT/DESIGNER'S NAME Last First Lic. No. G3211Qa 1 Architect/Designees Address Architect/Designer's E-mail Address 6'8-2 z 9ft,NrV-, i] L _ S� �6� City-`ccr�d.,�wv-IL.. _..., State _ Zip un;-zJ2_ Telephone of ( j 1.4\n1-.2 ... ENGINEER'S NAME Last First Lic. No. Engineer's Address Engineer's E-mail Address City State F_ Zip I Telephoner— CONTRACTOR'S NAME/COMPANY Lic. No.Class 13���1 Contractor's Address TU(i-1 Al Al) -e Contractor's E-mail Address PS . 0 City AA) A `ket�. _.. State IC,- �7 Zip 9'Z, C)-7 Telephone 7 1 L{— 33�, j 1qq SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $