HomeMy WebLinkAboutX2020-0513 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application 0%,_-
Comm'I r Residential City of Newport NOTE: PLAN HECK EES DUE each - ATiTIIME OFlding ISUBMITTAL aob'o sion 3
FBuilding r, Grading j-`IDrainage f-I Elec [1 Mech F-I Plum Cu Yd Cute Cu Yd Fill
Project Address (Not mailing address) Fj Flood [-] Fire r-j Liq F Landslide [-1N/A Floor Suite No
l'Zce( 01>
Description of Work
Use F7 Const Type F_
# Stories # Units (if Res) 7
aluation $
1F____�aterial/Lab r lI
New/Add SF� Remodel SF
Garage/New/Add
OWNER'S NAME Last
First '—
Owner's Address 1
Owner's E-mail Address
City E,` State F� Zip Telephone
APPLICANT'S NAME Last
First --
Applicant's Address
Applicant's E-mail Address
J
City State
--� -� ----- ®
Zip ���, � Telephone
P I ` p D A -3 '4 34S
ARCHITECT/DESIGNER'S NAME Last�a2
First �M ` Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
1
City I �� State C •--
Zip (Q Telephoned
ENGINEER'S NAME Last /�
First Lic. No.
_ ;
Engineer's Address
Engineer's E-mail Address
City State �l
Zip F Telephone��
CONTRACTOR'S NAME/COMPANY
Lic. No.I Class
Contractor's Address
- ----- - ---------------------------------------------- -7
Contractor's E-mail Address
City State F—i
1 --- - - ____ ____ -]
Zip Telephone
SETBACKS REAR SETBACKS FRONT
PERMIT NO. �•'"
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $