HomeMy WebLinkAboutXR2024-1069 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application a�`w°a`m
[— Comm'I R Residential City of Newport Beach - Building Division �
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL �•-.oar•'
GZBuilding F Grading
F-Drainage r—Elec r—Mech
C—Plum cuvdCut F CuYdRif
Project Address (Not mailing address) i— Flood F Fire r— Liq j— Landslide FN/A Floor Suite No
1615 RUTH LN
I I
Description of Work
Use F—Const Type
OLUNTARY SESIMIC RETROFIT
LA STANDARD PLAN
# Stories nits (if Res)F—
Valuation
Material/Labor
New/Add SF F_ Remodel SF F— Garage/New/Add F—
OWNER'S NAME
Last Patzkowstki
First INA
Owner's Address
Owner's E-mail Address
City
State F_
Zip F Telephone 02 469-1580
APPLICANTS NAME
Last oldenwe\ -- i.n
First ; \
Applicant's Address
Applicant's E-mail Address
unshinepermits@outlook.com
City
State
Zip F— Telephone F18 306-0448
ARCHITECT/DESIGNER'S NAME Last
First F_ Lic. No. F—
Architect/Designers Address
Architect/Designers E-mail Address
City �
State F
Zip F— TelephoneF__
ENGINEER'S NAME
Last �
First F_— Lic. No.F
Engineers Address
Engineers E-mail Address
City
State rs
Zip F— Telephoned
CONTRACTOR'S NAME/COMPANY unshine foundation
Lic. No. 1008306 ClasslV
Contractor's Address
Contractors E-mail Address �—T"
18327 NAPA ST
Sunshinepermits@outlook.com
City
State F_
Zip F Telephone 18 3066-0448
SETBACKS REAR
SETBACKS FRONT
PERMIT NO. wo • QV q
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. • o
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $