Loading...
HomeMy WebLinkAboutX2018-2093 - Permit Applicationk200- 20ci3 Print Form Worksheet for Combo Building & Solar Permit Application r Comm'I residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 04W ly4uIIding F_ Grading F-Drainage r Flec r Mech F- Plum Cu Yd Cut Cu Yd Fill F_ Project Address (Not mailing address) F_ Flood F Fire F_ Liq r. Landslide FN/A Floor Suite No 10 Un) IT 0-5- F4;� 4oS Description of Work Use Const Type FT L— gFfAi �- Fi ?4� P M� c 1 J 4TO RxiZ C-&100 # Stories Units (if Res)r U►ur'i DI�Y�� � t�lruovi 666ii ?AAT"� lar- Valuation $ Material/Labor L,CL ! New/Add SF��— Remodel SF Garage/New/Add F OWNER'S NAME Last FHA,`,�-? First Owner's Address Owner's E-mail Address C;� MAt�t 0LI/4 AVE City �( 00,F :5 ( 9-e State I( 1A Zip 7Z_TelephoneF� APPLICANT'S NAME Last G �. ���, First ©!4�,rNf Applicant's Address Applicant's E-mail Address e13,3 MAA�30L-i,l9- Avg City N IJ-�I D,E State �.. Zip G_ Z74Z�+ !, Telephone �,-j r 2-(6 � 7 ARCHITECT/DESIGNER'S NAME Last -FA-00 First J0N A-1f4.+ ( Lic. No. j i� 01+0 Architect/Designer's Address Architect/Designer's E-mail Address q57N , LAj0 e C City 4!�/uTo94 State I" Zip �Z3 Telephone Ccaocy 2�7&,...-7 r 3� l�'. l ENGINEER'S NAME Last First_ Lic No.f Engineer's Address ineer's E-mail Address City State Zip Telephone' CONTRACTOR'S NAME/COMPANY t, tOT Y6,--� 1v t li �{� ED Lic. No. F Class �1 Contractor's Address Contractor's E-mail Address City I State �— Zip ��, Telephoned SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $