HomeMy WebLinkAboutPV2020-034 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
j- Comm'I � Residential City of Newport Beach - Building Division p�� NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building F_ Grading
rDrainage rElec (—Mech F— Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) F_ Flood F— Fire F_ Liq r"- Landslide rN/A Floor Suite No
Description of Work
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Use Const Type
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# Stories #Units (if Res)[_
Valuation $
New/Add SFF
Remodel SFF— Garage/New/Add I----'
Material/Labor
OWNER'S NAME
Last First
Owner's Address
Owner's E-mail Address
City
_State F_—._. Zip F,. Telephone--....
APPLICANT'S NAME
Last F First
Applicant's Address
Applicant's E-mail Address
City
State F_ Zip F_ Telephoned—'
ARCHITECT/DESIGNER'S NAME Last First [_ Lic. No. F—
Architect/Designer's Address
Architect/Designer's E-mail Address
City _
—
State F_ Zip F__.. Telephone
ENGINEER'S NAME
Last FirstF_Lic. No.F_'
Engineer's Address
Engineer's E-mail Address
City
_ State r Zip Telephoner-.-.---.-.------
No. OClass
CONTRACTOR'S NAME/COMPANY Licg W
"I
Contractor's Address
Contractor's E-mail Address
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Cityvv Y ,
State Zip Telephone p
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $