Loading...
HomeMy WebLinkAboutX2021-2870 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application ( Comm'I Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL j7tuilding F- Grading f-Drainage wElec F-t.Mech VPlum CuYdCut F CuYdFill F Project Address (Not mailing address) F_ Flood F- Fire F_ Liq r Landslide F_N/A Floor ZDe� APd l-Er,-lA Description of Work -z-W Sff I-LJ C*rwy FyClS'i1rJ& DuP1,Ey, 4 uorasTle_vcT A N;ctJ Si N6-t-f- P AM I SFr K Es D-E N C£ -t Remodel SFI/ zC Fiti CUJ-,Z6 OWNER'S NAME Last I Jug"4QN Owners Address City State APPLICANT'S NAME Last 511 Y ri Applicant's Address 21 o f W. M a c fir 1 Eu� r l� l .�d 207 City 1 '�G,,4tti A,G State I `---14 ARCHITECT/DESIGNER'S NAME Last I r J! V Y Architect/Designees Address City I State .a.71 33 50P Garag�Add 3y�— Suite No ate/ N Use ConstType V- a Z. [wr A/'w[it Pr # StoriesT3 # Units (if Res Valuation $ /�n �C Material/Labor (� (� First Pgve1- Z06AfvQ4A �aHcrN+Fn� Owner's E-mail Address htah @ Keys�o.?e bC5 .CoM Zip cr� Telephone 71q - 7g l _ 3771 Firstl Z(M6Zt4`f Applicant's E-mail Address E i ry o f Y e k sf'avr e- dk cs co w� Zip ;�7o4 Telephone 7 rLt. 98 3, 4, 6d' First I AA 0T t.+T Lic. No. F Architect/Designer's E-mail Address -( l:�o-f ,L( (2? I S+ovt,t c S . care_ Zip F Telephone 7 /[F, 1?9 7 . 6 60 ENGINEER'S NAME Last VU U First Truo� Lic. No. C7s%6 Engineers Address J Engineer's E-mail Address City State F Zip �— TelephoneF CONTRACTOR'S NAME/COMPANY �s �e D�S Lic. No. 1©1329 Class Contractors Address Contractors E-mail Address City �� �� State I `" " Zip 2,7� Telephone 2Zb7? SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.t�(iZ( to/ USE ZONE DEVELOPMENT NO C. PLAN CHECK FEES $