HomeMy WebLinkAboutX2021-2055 - Permit ApplicationPrint Form VY0F1k8hd00t for CoMbo Building & Solar FevnAit Application
F Comm'I F Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 2fl2 Q
r Building r Grading f—Drainage f— Elec F_ Mech Plum Cu Yd Cutl Cu Yd Fill
F`
Project Address�(14ot mailing address) F Flood j— Fire F_ Liq C- Landslide [7N/A Floor
Description of Work
New/Add SF Remodel SF Garage/New/Add F_
OWNER'S NAME Last I First
- _
Owner's Address Owner's E-mail Address
Suite No
F_
Use F Const Type
# Stories7 # Units (if Res)
Valuation $
Material/Labor
- _ _... ... _..... _ ....
city__....
StateF777 Zip Telephone
F—,
NAME Last
First Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
......... .._ _.------- _..
City State Zip Telephone
SETBACKS REAR
SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
USE ZONE DEVELOPMENT NO
PLAN CHECK NO.
PLAN CHECK FEES $