Loading...
HomeMy WebLinkAboutM2011-0045Worksheet for Building Combo hermit Application WY°R@ "rims.: 4 z: City of Newport Beach - Building Department Please print 3 copies gpQ@@�Jq j�p9Cyf Ase [713uilding F_! Grading F—Drainage F Elec F Mec u .... 1. Project Address (blot mailing address) � o No Mor CrA Tenant Name(if Applicable) # Units (if Residential) 2. Description of Work .............................._.............._.... .............................'................. . ......... ...... ... .-........ . mm Extg Building SF Demo Building SF ;Add/Reconstruct Bldg SF ......................... . .................................................. Extg Gar sf F Demo Garage sf F Add/Reconstruct Garage sf Use Valuation $ ............: ' I TOTAL BLDG SF r Cu Yd Cut New Add f7, Alter Demo TOTAL GARAGE SF Cu Yd Fill -Y ..... ...... . box # Stories 4. Architect/Designer's Name Last 1 First Lic. No. ............................._......................................._...._.....: L.............................................................: )Architect/Designer's Address Architect/Designer's E-mail Address 1 City State Zip Telephone` OFFICE USE ONLY ENERGY P/C FEE $ PERMIT NO. GRADING P/C FEE $ FIRE P/C FEE $ PLAN CHECK NO. � (') O ZO I I Rev 4116109 ELEC/MECH/PLUM P/C FEE $ PLAN CHECK FEE S Asa ■ liens MOMMOPF ® ® 1■ , V®® 1 ■ Z ! # V 1 0 6. - CI T Y y 14, � C 7► ate MK / J '111C! .N 1 T Y S K E T C `H �"`-Nrwsoar ��►y C.at IFoanr�A y t �rrrr zv SO[Jndings ore e-(Pecs'led in feel orsd otoevole ����'' dpf�*s below tis�p.� Gower Go+✓ L./c�f�r. <t�Joxi..w<s' Remove Q1 ��cn9e jr fialc Opprozi.rspl./y /4'r�f Harbor /.ifr5 (-(P 14C c7rG csfob/is/�ed /» lhi3 . secfio.� of Nc,✓Pv.,< Bob c,eckii ori dockt onckv'a Re mov( 44 rep 10(e cr OA) dOCk -T-7— L .4 _ HARBOR RESOURCE DIV. s CITY OF NEWPORT.B CH G u J4 m s Autz1J�)