Loading...
HomeMy WebLinkAboutX2018-2140 - Permit ApplicationPrint Form W s eet for Combo Building & Solar er-mit A�plication ❑ Comm'I ❑ Residential I City of Newport Beach - Building Division o g NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL ❑Building ❑Grading ❑Drainage ❑Elec ❑Mech ❑Plum cu Yd CntF Cu Yd Fill Project Address (Not mailing address) ❑ Flood ❑ Fire f7Liq C]Landslide /A Floor Suite No - Ansi D D Description of Work Use F7Const Type # StoriesF1 # Units (if Res) New/AddSFF77777 OWNER'S NAME Last First 100 Owner's Address Owner's E-mail Address � , Cityyi'� dt� M A State Zip F____7 Telephone 4/c _9 APPLICANT'S NAME Last iL IO.��o n.h n..-. /� First r=_-� Applicant's Address //tt ��� /IC t r to city �� —� State ARCHITECT/DESIGNER'S NAME Last Architect/Designer's Address ` City �— State F Applicant's E-mail Address Zip I _ , �a TelephoneTiHt-lY-S7 _ First Lic. No. Architect/Designer's E-mail Address Zip � Telephonel� ENGINEER'S NAME Last First �� Lic. No.F7777 Engineer's Address L 71 City State Engineer's E-mail Address Zip �— Telephone___— CONTRACTOR'SNAME/COMPANY Lic. No.3yg/7 Class© Contractor's Address _?C 7-: 1 -- -S._ ' �—� City.-�� �_ State l ` Z71 Contractor's E-mail Address Zip Telephone SETBACKS REAR SETBACKS FRONT 0 PERMIT NO. 77.�, SETBACKS LEFT 3T_ SETBACKS RIGHT 3 r PLAN CHECK NO. t V - zxf t SE ZONE f--- 2, DEVELOPMENT NO PLAN CHECK FEES $