HomeMy WebLinkAboutX2015-3325 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
Comm'I
;Building F Grading Drainage Fi!Elec I - Meech f Plum Cu vd Cut" Cu Yd Fill I
Project Address (Not mailing address) ❑kood C Fire F_ Liq F-] Landslide -- /A. Floor Suite No
�%
/lY� FL OG A%o //'l!/iT^ ��2 / . `� �
Description of Work , Use I Const Type r-J
Storie�# Units (if Res)r_l
Valuation $
New/AddSF_- f —I Remodel SFF_ ::�7 Garage/New/Add -- Material/Labor s ��
OWNER'S NAME Last
Owner's Address Owner's E-mail Address
City - -J State Zip I I Telephone J
APPLICANT'S NAME Last First
Applicant's Addressj/%%[!_Gr✓��iu`r�v�iu�pxeayii'y'f(�'2il Address
city �% _ - _ - J State Zi Telephon _ - - 1.
ARCHITECT/DESIGNER'S NAME Last First F Lic. No.
Architect/Designer's Address A 2, itect/Designer's E-mail Address
l
City 49, State - Zip F Telephone I
ENGINEER'S NAME Last F First Lic. Ne,944�
Engineer's Address Engineer's E-mail Address
City J State Zip ; Telephoner—
CONTRACTOR'S NAME/COMPANY CGw��I/�i Lic. No. �y Clas5FZ7
Contractor's Address Contractor's E-mail Address
- - -- --��i-
City e7IAA,759-
Y
State Zi elephone
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $
(! Residential City City of Newport Beach - Building Division
Mi`I�� NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
m-