HomeMy WebLinkAboutX2018-1848 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application o4 EwPoa
❑ Comm'I I-1 Residential City of Newport Beach - Building Division ofF
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
16-
Building ❑ Grading FDrainage n Elec D 'Meth ❑ Plum Cu Yd Cut Cu Yd Fill FI
Project Address (Not mailing address) ❑ Flood ❑ Fire ❑ Liq ❑ Landslide ❑N/A Floor Suite No
/221 WFUT CoAPT ill 6JIaA `
Description of Work
Use [71 ConstType n
(?LANs r of E ffrrrL Attt JJAovl0ca4K
# Stories❑ #Units (if Res)❑
Valuation $
New/AddSFF-1 RemodelSF�l Garage/New/Add�
Material/Labor ;DO
71
OWNER'S NAME Last EN1Berry First %� Of
Owner's Address Owner's E-mail Address
IZZ 1 WEFT 6VA r7 l.116p16wll V _ 6E.44P"1C C;2 94t i?ON dAY«4B. bd^
City NlzwP01'LT 6akGt1 State ® Zip ,_Pt_(,_47
17 Telephone 944-630- /f,
APPLICANT'S NAME Last_ 7AY5 First C,(ay&iv
Applicant's Address Applicant's E-mail Address
2 Ce8MWFztc CTIaYse EA4ait -wEz
City ZILVI/vIF State Zip iiblp Telephone qy9-S33-S9 �'
ARCHITECT/DESIGNER'S NAME Last First F7 --- 7 Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
City State Zip Telephoned
ENGINEER'S NAME Last First %LENA/ Lic. No. a3S3 _
dress Engineer's E-mail Address
%Yo0 QllAI6 $f. SulTry ?yS GUmy-/ALmQwtrrCOMAa-Cawn 11
city /V�PWT SE-ALEI state (A Zip Telephone qy9-261-Gf I
CONTRACTOR'S NAME/COMPANY EMCall MESn FN�EEBy' JJrSr s^ Lic. No. 611ZI� Class�'I
Contractor's Address Contractor's E-mail Address
2 cwM�� ena�rse FK.NkT a�,�o�t t�
City T-LyI've State Zip j7t: � Telephone gyq)5f&o-pglo
SETBACKS FRONT PERMIT NO. ZO k
SETBACKS REAR
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.-LLsZL�L1 V
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $
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