HomeMy WebLinkAboutX2020-1439 - Permit ApplicationPrint.F "'rrt Worksheet for Combo Building & Solar Perm`i� An
P ation d WPoRA
(- Comm'] r Residential 9 U
City of Newport Beach - Building Division V /1 �'.
NOTE: PLAN CHECK FEES DF AT Temp: nF ci ianniT i �[ 1
wilding F_Grading F -Drainage .5;�Zlec FMech
- - - -- --- -J ii I - ..,..F
fZ, Plum CuvdCut CuvdFill r7
Project Address (Not mailing address) rl Flood
[7 Fire F__' F_ Landslide /A Floor Suite No
AlA7A_
144A F_
Description of Work
v
Use Const Type
�ti1L A�C1� Mptt`[ t`e�reY t�t�u Sao
��3�
#Stories #Units (if Res) Fi
RA
Valuation $
New/Add SFr— (otf Remodel SF Garage/New/Add F —'I Material/Labor
OWNER'S NAME Last FA Z A Q _
First
MICNaEL
Owner's Address Owner's E-mail Address
_ _ nC Ca� �cu
ZS U"` _
1�11KtZ_. (hu�W2.n' oa+-1 I
v _�Y
49 '7011-
City l ear/� IE i State [7A .__ I ZIP o f TelephonerG
APPLICANT'S NAME Last
cd'L.
First
Applicant's Address
Applicant's E-mail Address
723 CGAu 1414A Si
IMa tvt 1� s, -Z Lou.
City State e_ Zip
5tt�h
Telephone
.d!`(hH� �'^1-
q2 y 7 14 - 90(�-'
ARCHITECT/DESIGNER'S NAME Last' First �—
,a -o, 1.4l _ _ � cvi-o-1 Lic. No. - � $'Z 1
Architect/Designer'sAddress
Architect/Designer's E-mail Address
tn�DS�Sti�N�R_uo 1
City State Zip
2a�5- Telephonel 74 -9 d 6 -
ENGINEER'S NAME Last f (�r
aju
;First \' Lit. No. r_—'
Engineer's Address
`\J'r��gM
Engineer's E-mail Address
City _ State �— Zip
Telephoner _
CONTRACTOR'S NAME/COMPANY
Lic. No. F_Class F_
Contractor's Address
7_7
_i
Contractor's E-mail Address
City State Zip
Telephone—
SETBACKS REAR SETBACKS FRONT
PERMIT NO. 10 `
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE 2ONE DEVELOPMENT NO
PLAN CHECK FEES $