HomeMy WebLinkAboutX2020-2709 - Permit Application (2)Print Form I Worksheet for Combo Building $ Solar Permit Application fiso
City of Newport Beach - Building Division
F Comm'I Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL��/� �Ah �7�1
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Project Address (Not mailing address) C Flood ire i , Landslide Floor Suite No
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Description of Work . AID SEC WO Wt, E / y(StW
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Use Const Type ^�
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# Stories # Units (if Res)
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Valuation$ F!t°
Material/Labor tCX-02
New/AddSFF�, RemodelSFI /
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Garage/New/Add ,
OWNER'S NAME Last
First �iti(ctir'
Owner's Address
Owner's E-mail Address
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City /v 001W State F 5 Zip Telephone '76® - '?CP - z773
APPLICANT'S NAME Last I tJ ""'�
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First MID
Applicant's Address
Applicant's E-mail Address
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ARCHITECT/DESIGNER'S NAME Last``
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Architect/Designees Address
Architect/Designees E-mail Address
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Zip QiZS3 Telephone-S?3'�dspa
ENGINEER'S NAME Last
First Lic. No. C75? %,
Engineer's Address
Engineer's E-mail Address
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CONTRACTOR'S NAMElCOMPANYESJ Class
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Contractor's Address
Contractor's E-mail Address
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City _I.fzwit l5� State r
Zip 01.26 (_%j air/
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SETBACKS REAR SETBACKS FRONT
PERMIT NO. low 2M oal
SETBACKS LEFT SETBACKS RIGHT
PLAN CHEC NO. ZA4') .
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $