HomeMy WebLinkAboutX2020-0524 - Permit ApplicationI
Print Form Worksheet for Combo Building & Solar Permit Application ai-s
r comm'I F esidential City of Newport Beach - Building DivisionNOTE: PLAN CHECK FEES DUEAT TIME OF SUBMITTAL
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Description of Workr
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# Stories', # Units (if Res
Valuation $
Mat erial/LaborV,
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OWNER'S NAME Last « d
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Owner's Address Owner's E-mail Address
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APPLICANT'S NAME Last j First L_ '
Applicant's Address Applicant's E-mail Address
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ARCHITECT/DESIGNER'S NAME Lasti First
_ F Lic. No.
Arc e esigner's Address Architect/Designer's E-mail Address
City State L� Zip[_ Telephoner
ENGINEER'S NAME Last t+ bit First Lic. Nof—
Engineer's Address Engineer's E-mail Address
City State— Zip Telephone `y>A
CONTRACTOR'S NAME/COMPANY Lic. No. F—ClassF_
Contractors Address Contractor's E-mail Address
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City State ('l l,� Zip G���7J Telephone
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SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. (I'
$E ZONE DEVELOPMENT NO PLAN CHECK FEES $