HomeMy WebLinkAboutM2015-0015 - Permit Applicationa¢WPogr
Worksheet for Combo Building &Solar Per �� ;����,�Q,��T li
r Comm'I �' Residential City of Newport Beach - Building Division F If11iLI�9!
NOTE: PLAN CHECKFEESDVEATTIME OFSUBVLff¢j{..pp,r AIr11,w^n7 Ai_`'
Building 'Grading Drainage F-Iec �, ech 1IPlum CuydCut I c Yd
Project Address (Not mailing address) � Flood [ J Fire [ Liq /
161 134N621E_ 0/ , -
Description of Work
Const Type L J
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t)/r� � w►
# Units (if Res) J
Valuation
Material/Laa bor
g)E//Vfo-1,6lA14 �ftrz_k4lSrIN� $&f 44f LLA�tk��_.....
New/Add SF Remodel SFI Garage/New/Add
OWNER'S NAME Last G�/�-S�/[L _ . _- -- �i First
Owner's Address Owner's E-mail Address
1-!/ Iky_sidL 0/{- ------ - -- _ -1
City Nc�e��ei� State zip Zip 2.(jZ Telephone�v�(J. /
APPLICANT'S NAME Last W1,4 i.S- _ _ - First
Applicant's Address Applicant's E-mail Address
City 1 In/A�—� State Zip Telephoney
ARCHITECT/DESIGNER'S NAME Last First F__1 Lic. No. I I
Architect/Designer's Address Architect/Designer's E-mail Address
City 1 State � � Zip Telephoned
ENGINEER'S NAME Last /%,f_50062 - _ - - First _ j f/)L/2 - - J Lic. No. i_ 301 L
Engineer's Address Engineer's E-mail Address
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City Z.��-y(�y �Qr%,Gj / _ - J State _ . J Zip Telephone..
CONTRACTOR'S NAME/COMPANY C 0164,6. /�/ ��1„ /,� Lic. No. t{,$SV4 Class
Contractor's Contractor'sE-mail Address
�Address
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�2 t q �Y/dNiC1n.C.4l uu c. , Gpry)
City (/�Q State �� Zip �lZ6L8-- Telephone ](I1,y20.0358
SETBACKS REAR SETBACKS FRONT PERMIT NO. -fA �60 t�
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO
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USE ZONE DEVELOPMENT NO l/ PLAN CHECK FEES $
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