HomeMy WebLinkAboutX2020-2822 - Permit ApplicationPrint Form 1W
_.__J Worksheet for Combo Building 8� Solar Permit Application 0" "°am
City of Newport Beach - Building Division
j Comm'I j Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMI L
Building — Grading rDrainage r Elec F Mech r Plum Cu Yd Cutl Cu Yd Fill
Project Address (Not mailing address) F_ Flood j— Fire j— Liq r Landslide F_N/A Floor Suite No
90 Lk j 1 o� '" h-)
F_ F_
Description of Work
Use FT-. Const Type f U
# Stories # Units (if Res)
Valuation $
Material/Labor -_Z0I cco OD
New/Add SF Remodel SF "3 G} J r .,t
Garage/New/Add � k_
OWNER'S NAME Last L�0
First (� CT_j` 4 (3X-+Z
Owner's Address
Owner's E-mail Address
404 Ql0.(-.i Ao
City i aet � f- }tq��Qti State f j-{ v1®® Zip Telephone)
APPLICANT'S NAME Last
First mo_s - n O ,
Applicant's Address
Applicant's E-mail Address
�^^-tJv� bti eSl �C3ct�.t
City L V&— ` State EA
Zip �I�(p j °Z Telephone`1((�
ARCHITECT/DESIGNER'S NAME LastFirst t Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
V e�1 col a c Hsu
City �Xtx ll State I c-(-t,
t�
Zip R_2. Telephone = 11 �_111--v4
ENGINEER'S NAMELast
First F_ Lic. No.F—
Engineer's Address
Engineer's E-mail Address
City State
i p ja�C,I,Ja I
p ,NORK
CONTRACTOR'S NAME/COMPANY
Lic. No. Class F_
Contractor's Address
q� y
Contt��orkkwgl�rjAys,.
City I State F
Zip F Telephoned —
SETBACKS REAR SETBACKS FRONT
PERMIT NO. 01 ,
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. N
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $