HomeMy WebLinkAboutX2020-2265 - Permit ApplicationPrint Form
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Worksheet for Combo Building & Solar Permit Application
Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL x 1020 "oZ11415
r` Building j— Grading
r-Drainage r Elec r Mech (— Plum Cu Yd Cut) Cu Yd Fin
Project Address (Not mailing address) I— Flood jr Fire F_ Liq r— Landslide FN/A Floor Suite No
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Description of Work
Use Const Type
# Stories # Units (if Res)
►fie.✓. S�'� ' v C''�
1�1 �� [�y��,� 1�� i1 � �' l� _/ W� .�
New/Add SF�
Valuation $
Remodel SF Garage/New/Add �� Material/Labor v
OWNER'S NAME
Owner's Address
Last 7`� ( First
11 c'`�"
/
Owner's E-mail Address
6 �"t� f �/—&- ,�Z jj C,_f--t._/t,/-/
City ��_
LO6 f - State 77 Zip 5' °' Telephone
APPLICANT'S NAME
Last , First I 5
Applicant's Address
Applicant's E-mail Address
City
State Zip �_ Telephone
ARCHITECT/DESIGNER'S NAME Last First �Il Lic. No.
✓t'L�
Architect/Designer's Address
/ Architect/Designer's E-mail Address
City
State F Zip Telephone
ENGINEER'S NAME
Last �— First � Lic. No.[ —
Engineer's Address
Engineer's E-mail Address
City
State F Zip Telephoner
CONTRACTOR'S NAME/COMPANY Lic. No. �— Class
Contractor's Address
Contractor's E-mail Address
City
State �— Zip Telephone
SETBACKS REAR
SETBACKS FRONT PERMIT NO. b4V_jF11P
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $