HomeMy WebLinkAboutX2018-0209 - Permit ApplicationPirakF4rrn, Workshe for Combo Building & Solar Permit Application
F Comm" VResidential City of Newport Beach - Building Division
NOTE: PLWCHECK FEES DUE AT TIME OF SUBMITTAL
y Building (^-•.. Grading
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Project Address (Not mailing address) 17 Flood ( Fire i—, Liq Landslide rN/A Floor Suite No
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Description of Work
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# Stories'# Units (if Res)
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Valuation $
Material/Labor/
OWNER'S NAME
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Owner's Address
Owner's E-mail Address
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APPLICANUT'S NAME�-
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Applicant's Address
Applicant's E-mail Address
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ARCHITECT/DESIGNER'S NAME
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Architect/Designer's Address
Architect/Designees E-mail Address
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ENGINEER'S NAME
First Lic. No.F_
Engineer's Address
Engineers E-mail Address
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CONTRACTOR'S NAME/COMPANY_ Lic. No.. Class��-
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Contractor's Address
Contractor's E-mail Address
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SETBACKS REAR
SETBACKS FRONT PERMIT NO.y'�jjj �rV ,QJ 6
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $