HomeMy WebLinkAboutX2017-2842 - Permit Application (3)00
Worksheet for Comb Buildmg & Solar Permit App icatlon p4
F_Comm'I (Residential City of Newport Beach - Building Division E a `4
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL °<,�w�•'
Building F_ Grading (-Drainage F_Elec F-Mech xPlurn CurdcutF cuvdFill F
Project Address
(Not mailing address) [ Flood F-Fire F- Liq F_ Landslide CN/A Floor Suite No
32 �rnrK
New &mr Cij 9--1660
yt,_ rk ,
Description of Work
I QnLL
Use F Const Type I
i
# StoriesF— # Units (if Res)F_
,11 / Z C�-
vJi1'Vt 63o SFn
// 1 j ` 1
�tqa �IwV�' �orY ViWtP. r � b2� ��.� ��'h
Valuation
Material/La r l IJ
r
11
New/Add SF Qt�kaw d. Remodel SF� Garage/New/Add
OWNER'S NAME
Last �Lk First I JO ,Avll
Owners Address
Owner's E-mail Address
1` W F41 Xe,
4e Lu ® ol\ at J.(owN
City I �fV1
- State Zip l q5 Gj Telephone q4q,- 6)fj Alt
APPLICANT'S NAME
Last iy�Vt� First 1l� qvv�
Applicant's Address
Applicant's E-mail Address
1900 P.t
ve, L4p- �:Iao W.Vallo� ®mi 07 scow+
City _ 1,'(V 1N� -
- _ - _ State l u ` Zip F 11 J+ Telephone l"- &-"T( w
ARCHITECT/DESIGNER'S NAME Last First F Lic. No. F_
ArchitectIDesigners Address Architect/Designers E-mail Address
City
State F_ Zip F_- Telephoned
ENGINEER'S NAME
Last First 7— Lic. No.F
Engineer's Address
Engineers E-mail Address
City
State �— Zip TelephoneF—
CONTRACTOR'S NAME/COMPANY Lic No. F Class
Contractor's Address
Contractor's E-mail Address
City
State 1 Zip F Telephonel—
SETBACKS REAR
SETBACKS FRONT PERMIT NO. 'C2(� I7+ - ,8q --
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $