HomeMy WebLinkAboutX2018-1476 - Permit Applicationr AK-
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Worksheet for Combo Building & Solar Permit Application
j Comm'I i5i� Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
i$uilding i Grading
F-Drainage �lec ;/Meth Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address Flood f` Fir Liq F- Landslide _N/A Floor Suite No
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ISLLtin prIlle
Description of Work
P
Lo\'}v (l� u 4
-1+
Use I CanstType
Stories # Units (if Res),_
_
u
Cjj
Valuation
Material/Labor
\v
New/AddSF /-/-on RemodelSFs
..
Garage/New/Add
OWNER'S NAME
Last C'rL V e jl
First! N 41 n�,., (VU
I
Owners Address
Owner's E-mail Address -
s� Y MAj�'Joy'
Is A -,a E)r
Ciy '�., R
State
Zip �Zte (,b Telephone! 4! yY
APPIICANT'S NAME
Last C q Wet)
First l H d v V 1
Applicant's Address
Applicants E-mail Address
.SSq /Q ,6V 6o,, IsLA-lp Dvl,Lv,
(� c�.�v � (2tuK oted ate' . U s
City �,
State
Zip ; S' Zte (d b Telephone (� C/ (� t`�'
ARCHITECT/DESIGNER'S NAME Last
First i �✓t� Lit No. \ v b U
Architect/Designers Address
Architect/Designer's E-mail Address
6 '(
4 rJo
2 fb
At Is 1<1460. �. r'1`r�R. ech
City O�'
State
Zip f (pa Telephones 9�L�Z
ENGINEER'S NAME
Last I V is x-s First ,h Lit No.1 F—
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Engineer's Address
Engineer's E-mail Address
I /s Sr�r�heG«
UJ Owl5 rt,up. c.01111
city �[,�Z
state CA
zip l Telephones c/v,y 7�
CONTRACTOR'S NAME/COMPANY
Lic. No. Class
Contractors Address
Contractor's E-mail Address
City
State j
Zip Telephoned
SETBACKS REAR
SETBACKS FRONT
/�
PERMIT NO. I \, w I (j "- 17 [�—/7 6
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. t t Lis -- 7z`
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $