HomeMy WebLinkAboutN2020-0661 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
F Comm'I r Residential City of Newport Beach - Building Division o
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
F—Building i- Grading
F—Drainage [_ Elec j—Mech
F- Plum Cu vd Cut Cu Yd Fill F
Project Address (Not mailing address) r Flood
[_ Fire [_ Liq r Landslide F_N/A Floor Suite No
Description of Work
Use Const Type
# Stories[— # Units (if Res)[ —
New/Add SFF
Valuation $
Remodel SF1__ Garage/New/Add F-- Material/Labor
OWNER'S NAME
Last
First
Owner's Address
Owner's E-mail Address
City
State ��
Zip F— Telephoned
APPLICANT'S NAME
Last
First
Applicant's Address
Applicant's E-mail Address
City
� State F_
Zip F— Telephoned
ARCHITECT/DESIGNER'S NAME Last
First F Lic. No.
Architect/Designer's Address
ArchitectlDesigner's E-mail Address
City I
State F_
Zip [— Telephoned
ENGINEER'S NAME
Last
First F_ Lic. No.F_
Engineer's Address
Engineer's E-mail Address
City
State F_—
Zip [_ Telephone[ —
CONTRACTOR'S NAME/COMPANY ✓� // // Lic. No. l�ZS�I/ Class
/�' LOn�GitsI �C.
Contractor's Address
Contractor's E-mail Address
City �r G.
State C/1
Zip Telephon 715 y/W f S/
SETBACKS REAR
SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. 1>8013 - 2b 11IN
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $
rT
i Division
or s eet for Fire Permit Application o�
Pri t Form City of Newport Beach-%Buii d
Please print 3copies V �" r���L}C,
Associated Building Permit # I 21yo . 40le Fire Sprinkler Fire Alarm %Fire Misc
1. Project Address (Not mailing address) Floor Suite No
2638 Sw„ )au4vs n I,biIII 7,d GA `lasso F_ �—
Tenant Name F #Units �-
2. Description of Work
oc�ir�n op Use
J
Extg Sq Ft FNew/Added Sq Ft �— Total Sq Ft Valuation $
j- New F_Add (< Alter F_Demo # Stories
Check Appropriate Box for Applicant/Notification
j` 3. Owner's Name Last -rW I7tvluC LflMi✓JfJY
First F—
Owner's Address
Owner's E-mail Address
55ep) 08e) K-T Oren na.
City I vewpO-tr -kr/1LH State I C✓
Zip d.b)7 Telephone
�( 4. Architect/Designer's Name Last Gys'8� First ,44eMT Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
YJAI WasWRLY ? 6I1A
1? 64 M-M e36 e CD+ZWA'r. eemi
City I T g State („9
Zip l�da Telephone yytl_>1_ q13)
F_ 5. Engineer's Name Last �L3ERTSOry
First A�7zcw Lic. No. 6i6)3
Engineer's Address
Engineer's E-mail Address
4/d1 W&STI Y )�,44�,r )ld.
CDKWd57-,aM
City j,)t./„--F R6,ko State Fa�
Zip Ojt66� Telephone I %cf-35)'b3A
1i 6. Contractor's Name Last 4v First d_VLI t; Lic. No. - �Bpp`ClassF _
Contractor's Address
Contractor's E-mail Address
8t'�ccfiv� ri7Yc(�
City
F-5
Chu @ �v Gortry
State
Zip 9ZP/z4 Telephone bale-3/5-74D j-
OFFICE USE ONLY
PERMIT NO. ` W1 9'�
TYPE OF CONSTRUCTION
GG
PLAN CHECK NO. 6 6�Ic7 t
OCCUPANCY - GROUP
PLAN CHECK FEE $ It CO� FiC