HomeMy WebLinkAboutX2020-0231 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Perni t Application ?E °Rr
( Comm'I [- Residential City of New
Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[-Building [-Grading [-Drainage I-Elec [-Mech
[-Plum CuvdCut cuvdFill
Project Address (Not mailing address) [- Flood ( Fire r" Liq [- Landslide [-N/A Floor Suite No
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Description of Work
Use ConstType F_
Ro_ly � Lx -,s t w :. U c� �.
S / t3 loc�cex
# Stories #Units (if Res)
Valuation a
Material/Labor
New/Add SF� Remo I SF
/A
OWNER'S NAME Last
First
Owner's Address
Owner's E-mail Address
City State F_
Zip F_ TelephoneF�
APPLICANT'S NAME Last `„ _ y,; (� First
V tom c�
Applicant's Address
Applicant's E-mail Address(
c'
d 0'! 2 S 1pK O G- UE
City I(�JZtj;r' 63eoc L State
Zip -q f,/0 Telephone'q (917-_t�4
v� /
ARCHITECT/DESIGNER'S NAME Last
First Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City State I _
Zip I — Telephoner
ENGINEER'S NAME Last
First F Lic. No f —
Engineer's Address
Engineer's E-mail Address
City State F—
Zip �— TelephoneF_
CONTRACTOR'S NAME/COMPANY
Lic. No. F ClassF
Contractor's Address
Contractor's E-mail Address
City I— State �—
Zip Telephonel�
SETBACKS REAR SETBACKS FRONT
PERMIT NO. � `vZo-
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $