HomeMy WebLinkAboutS2020-0135 - Permit ApplicationP�mt Foam Worksheet for Combo Building & Solar Permit Application -Aw—wp
r Comm'I Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TI
ME OF SUBMITTAL c<,.oa ••
Fj48uilding (- Grading j-"Drainage F_ Elec r Mech r Plum CuvdCut F_ Cu Vd Fill
Project Address (Not mailing address) F Flood F Fire r- Liq r Landslide rN/A Floor Suite No
3(a 2ocrti�5 WA --�
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Description of Work
Use Const Type F
# StoriesF_ # Units (if Res)F
Valuation $
Material/Labor /;�/Oo{J
New/Add SF�— Remodel SF�— Garage/New/Add �—
OWNER'S NAME Last
5orowl.byJ First
Owner's Address
Owners E-mail Address
'3
F` n_ouc, -5 t 1
City �-
State ' �q Zip J ce Telephone 9ttq
Go Sfi`(:35oa
APPLICANT'S NAME Last
N i C_ - 12 First &21Ar J
Applicant's Address
Applicant's E-mail Address
t2aTgT A� lic ®__
tJ cr�EL �/LAic_bV.
City ICJ �
State FcA Zip �2 Telephone O!`(9 ?40 . / L-� D,
ARCHITECT/DESIGNER'S NAME
Last First F_ Lic. No.
Architect/Designer's Address
Architect/Designees E-mail Address
City �
State ( Zip �— TelephoneF_
ENGINEER'S NAME Last
/� First F� Lic. No.F_
Engineer's Address
Engineer's E-mail Address
City
State Zip[ Telephone[�
CONTRACTOR'SNAME/COMPANY
/� Lic.No. (ot951 Class 24 NOV
Contractor's Address
Contractor's E-mail Address
/ Lo 1✓5 Y. /jvk SrC
City /U
State FCA Zip Zco�� Telephone 5,f4�0 -I L9 J
SETBACKS REAR
SETBACKS FRONT PERMIT NO. 01
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $