HomeMy WebLinkAboutX2020-1502 - Permit Application (2)Print Form I Mrs%orl<aheet for Combo Building & Solar Permit Application
(— Comm'I r" Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL. ( i,CF,
Building fW Grading ("Drainage F_ Elec F_ Mech F Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) I_ Floo
(/!%llt MV %Z= 1WV1F1eA7,
New/Add SF 1
OWNER'S NAME
Remodel SF
Last u•Ls {�
Fire f— Liq r` Landslide
rN/A Floor Suite No
— F_ F_
Use f 3 Const Type �� v
AIM" Stories 3 #Units (if Res)
Valuation $ '179�,.yX.�
Garage New/Add d Material/Labor ,L 6z
VI -AZ i-
First
Owner's Address Owner's E-mail Address
Sf�l cve/-S S y"-,)� .
City State F6k zip 2/,,� Tele hone � _ _. 43 742
PLICANT'S NAME N Last
City
ARCHITECT/DESIGNER'S NAME
First
Applicant's E-mail Address
F _gal A
��e Zip Telephone
Last I NOPIWAiN First j�b5 Lic. No. Fc 3d51
Architect/Designer's Address Architect/Designer's E-mail Address
Ff/G� 5 i!e_A�T /_/W.0 # 3 /6 _Zvsar%� �-7�s G_8• ►
City .' (pl.AA �� State G-4 Zip 1 5 26,S/ Telephone � ��j • �.�/
ENGINEER'S NAME Last >��Z +/ First I A//'C'"" Lic. No.1
Engineer's Address Engineer's E-mail Address
/2 /A 0 AF #t zol 4a-,�mco en yn eeri`ng-s frvnt%e .carp
City I State C� Zip 41,74S1 Telephone 6 37 a.,-p /
CONTRACTOR'S NAME/COMPANY -�- � L �446,E ( j5, y�ye-nty j No. 7� SS2 Class
Contractor's Address Contractor's E-mail Address
City �d F1' 7' )�L-W cw State �� Zip j92(pl0 3 Telephoned �19 Z 7e d86 /
SETBACKS REAR
SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $