HomeMy WebLinkAboutP2021-0282 - Permit ApplicationPrint Form IWorksheet for combo Building & Solar Permit Application°°q>
F Comm') r Residential City of Newport Beach - Building Division
NOTF PI AN rWGPv ❑=q �� ��
r'Building rGrading rDrainage F-Elec f-Mech rplum Cu Yd cut \J
Cu Yd Pill
Project Address (Not mailing address) f Flood f- Fire (" Liq F_ Landslide I -N/A Floor Suite No
80 Evening Canyon
Description of Work
Use F—Const Type
Fire slot (fire feature), gas plumbed BBQ, fountain (frontyard)
# Stories # Units (if Res)
Valuation $-' Materiai/Labor
New/Add SFF— Remodel SFF--
Garage/New/Add
OWNER'S NAME Last
First
Owner's Address
Owner's E-mail Address
City--- State
ZiP F----- TelephoneF_
APPLICANT'S NAME Last
First
Applicant's Address
Applicant's E-mail Address
City State �.�._
Zip F— TelephoneF_
ARCHITECT/DESIGNER'S NAME
Last 'First r� Lic. Na. F-_.--
Architect/Designer's Address
Architect/Designer's E-mail Address
city F State F
Zip [_ Telephone[�
ENGINEER'S NAME Last
First F� Lic. Na.F---
Engineer's Address
Engineer's E-mail Address
City [___ State —
ZiP F_ Telephone[ —
CONTRACTOR'S NAME/COMPANY
Lic. No. �— Class ir
Contractor's Address
Contractor's E-mail Address
City---- State
Zip �_ Telephoner �.
SETBACKS REAR SETBACKS FRONT _^
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $