HomeMy WebLinkAboutX2019-2559 - Permit ApplicationPrint Form Worksheet if Gj, ombo Building & Solar Permit Application
Comm'I r Residential � 20 f q —2 t City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL<.o.•J
Building rGrading rDrainage rElec D<Mech r`,Plum curdcut CuvdFill
Project Address (Not mailing address) r Flood r, Fire r Liq r Landslide rN/A Floor Suite No
93413 Vo,o KARM4N AVE.
I [_
Description of Work
Use F- ConstType F_
# Storiesr--;;-1 Units (if Res)
FEMOvP_ Aro f-Ekl ers (y) Er /srrN 6 ROD rcie
AI K Cea t £v
C'411 "'OtS w/ Sr'1+>s+a Trees EOucF.µF+�T
New/Add SFF Remodel SF F
Gara a/New/Add F
9
Valuation $
Material/Labor I60,DO U
OWNER'S NAME Last MNCDQwNEY v
First 3-re FV
Owner's Address
Owner's E-mail Address
49�f4 VO,N IGa Atn.v A-va 3rr FA
@ sttiCcAN►ea. Gown.
City Polkr ► FACI d State Cq
/v
zip 9Z660 Telephone 44y 40*- Ofb1
APPLICANTS NAME Last
First CIA? -is
Applicants Address
Applicant's E-mail Address
a CROMWr=c.c
c791'5CEN16z.N5�T
City I i(LVINE State F 0A
Zip 177- 1(f Telephone 44q-S'33-5"9S'-&-
ARCHITECT/DESIGNER'S NAME Last VAA) DISS'F C- First i<Elv -T_ N Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
VA(J VISSEC Giv6I.*F*jtje 6
MAID ISSEC EN6/NE£±LI�G e 6Mg lt• Ca,
City F 99-SA State I CA-
Zip 91 j&Z3 Telephone 7/eq _ yza _ L4o0
ENGINEER'S NAME Last FER-1 N i
First SA S Lic. No. yS1Sq 22
Engineers Address
Engineer's E-mail Address
410$10 COUNTY CEAIMP. D2. 1fIt0
JAWFQu1Pt'Ro1,vc.c0m
City I TF*trzeNCA State F (A
Zip atzrq� Telephone 9rj_ &00-0032
CONTRACTOR'SNAME/COMPANY
EM CO R "i; Sr}
Lic. No. 6112ts- Class[;
E'NE26y S Y3'7FMS
Contractor's Address
Contractors E-mail Address
a CAM W64C
eTNYsQ FrteoP_Mr-r
City I j �tNe State
Zip F i4t Telephone q49_ tf66 _Oe(j6
SETBACKS REAR SETBACKS FRONT
PERMIT NO. ri—Z/7S�(
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONED I S" DEVELOPMENT NO
PLAN CHECK FEES $