HomeMy WebLinkAboutX2021-2381 - Permit Application (2)Print Form I Worksheet for Combo Building & Solar Permit Application ON,
F_Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding F_ Grading
j-Drainage r-Elec (-'Mech r Plum cuvdCut s CuvdFill s
Project Address (Not mailing address) CFlood F_ Fire f Liq F Landslide I —N/A Floor Suite No
80 Evening Canyon
F— �!
Description Work
Use F—Const Type F
5' -6" high cmu wall along the
line
property (3 sides.) Total length: 288 ft.
# Stories # Units (if Res)
Valuation $
Material/Labor
New/Add SFF_
Remodel SFF—, Garage/New/Add F',
OWNER'S NAME
Last First
Owner's Address
Owner's E-mail Address
City
State F-- Zip I TelephoneF—
APPLICANT'S NAME
Last �— First
Applicant's Address
Applicant's E-mail Address
City I _._.
_ State r— Zip F— TelephoneF_
ARCHITECT/DESIGNER'S NAME
Last F First r—
Lic. No. �—
Architect/Designer's Address
Architect/Designer's E-mail Address
City _..
_ State r Zip [_ Telephoned_
ENGINEER'S NAME
Last— � First—', Lic.No.r
Engineer's Address
Engineer's E-mail Address
City �—
State �— Zip �— Telephone
CONTRACTOR'S NAME/COMPANY
Lic. No. F Class�—
Contractor's Address
Contractor's E-mail Address
City--
State �— Zip �— Telephoned
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $