HomeMy WebLinkAboutX2021-1859 - Permit Application (2)002.-jM
Print For Worksheet for Combo Building & Solar Permit Application
F- Comm'If7! Residential City of Newport Beach - Building Division q
% NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
(Building F_Grading F -Drainage F_Elec F_Mech F -Plum Cu Yd cut Cu Yd Fills
Project Address (Not mailing address) F_: Flood f—, Fire F– Liq F_ Landslide FN/A Floor Suite No
600 S-1 . 7A MCs PLAc - F_ r--
Description of Work
Use I— Const Type
# Stories # Units (if Res)[—
IZEN�avPIQo AN I r �,. Eta a ,, .
R,„ p Ron �(
N N M/��
17 17 n
_:� t N
Valuation $
100Q
Material/Labor
New/AddSFF-- Remodel SF (6 Gara a/New/Add
g I
- --
OWNER'S NAME Last S-1 za Lj__0 First
Owner's Address Owner's E-mail Address
(400 S T TAMY 5 5
City K) FW 9 2- g(�/3C69 State �( Zip Z� TelephoneF
APPLICANT'S NAME Last I A First LTr SC_,4Z._ %
Applicant's Address Applicant's E-mail Address v� 1 O `—
15375 _ C31 MAVjc6 2uwY_
City 1 2V LN State FCZ7 Zip �2 IL Telephone
Z-78-3
ARCHITECT/DESIGNER'S NAME Last ���_ First R_ q Lic No.
Architect/Designees Address Architect/Designer's E-mail Address
--J}5 'L i CA J_T
City -_ State F Zip r—Telephoner
ENGINEER'S NAME Last First FVc.No.��f—'
Engineer's Address Engineer's E-mail Address!
-MLYl_ 5 A S E)PPI)CANT
City -_ State—' Zip Telephoned
CONTRACTOR'S NAME/COMPANY�p�G A'16� pty 6 Lic. No. Fir// Cg y Class
Contractor's Address Contractor's E-mail Address
2/07 /Y1l izogjA c_ ,331;-1 4 &/ ,f /la%l0n? Low
City $' All rc n State Zip q (27 Telephone tlj /7 �
K -TM / J
SET AKS AR 10f SETBACKS FRONT Zoo PERMIT NO.
SET. S LE T Gi ' SETBACKS RIGHT !� PLAN CHECK -NO.
US Z DEVELOPMENT NO PLAN CHECK FEES $
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