HomeMy WebLinkAboutX2019-2841 - Permit ApplicationPrint FormWorksheet for Cdmbo Building & Solar Permit Application
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Comm'I [-N Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
F,-< Building F Grading
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F -Drainage F- Elec F Mach F- Plum Cu yd,6ut Cu Yd Fill
Project Address (Not mailing address) F- Flood F- Fire j Liq r- Landslide F_N/A Floor Suite No
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Description of Work
UseF—Const Type I—
ff Stories # Units (if Res)[
LI
New/Add SFF
Remodel SF Garage/New/Add
Valuation $
Material/Labor
OWNER'S NAME
Last i First
Owner's Address
Owners E-mail Address
City r
State Zip Telephone _72j�, �v,
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APPLICANT'S NAME
Last First
Applicant's Address
Applicant's E-mail Address
A
City JR,
State 4 Zip Telephone
F
ARCHITECT/DESIGNER'S NAME Last First Lic. No. F_
Architect/Designer's Address
F_
Architect/Designer's E-mail Address
City
State F_ zip Telephone[
ENGINEER'S NAME
Last1 First Lic. No 1 :-T7 3
Engineer's Address
Engineer's E-mail Address
City
State F_ zip TelephoneF
CONTRACTOR'S NAME/COMPANY Lic. No. Class
r- F _9,� 7_1
Contractor's Address
Contractor's E-mail Address
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City
State Zip Telephone
C3
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT,.. PLAN CHECK NO. SO
USE ZONE
DEVELOPMENT PLAN CHECK FEES $