HomeMy WebLinkAboutXC2022-2060 - Permit ApplicationPrint Form Workshee't for Combo Bundling & Solar Permit Application
Comm'I F_ Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL , C �_1�L2.'
F-Building FGrading Drainage j-Elec FMech F_ Plum Cu Yd Cut Cu Yd rill)
Project Address (Not mailing address) F Flood F_ Fire F_ Ligq F- Landslide F_N/A Floor Suite No
A �,- _- C Z ` ��
Description of Work
Use F— ConstType
i
# Stories #Units (if Res)
New/Add SF�-- Remodel SF�- Garage/New/Add �—
Valuation $
Material/Labor
OWNER'S NAME Last S� First,`vL e
Owner's Address Owner's E-mail Address
City �- 6G State Zip /� 7 Telephon
APPLICANT'S NAME Last SGC-- First'
Applicant's Address Applicant's E-mail Address
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City y State �— Zip Telephone V�;
ARCHITECT/DESIGNER'S NAME First Lic. No. �—
Architect/Designer's Address Architect/Designer's E-mail Address
City State �— Zip � Telephone—
ENGINEER'S NAME Last F First F Lic. No. F—
Engineer's Address Engineer's E-mail Address
City State F_ Zip Telephoner
CONTRACTOR'S NAME/COMPANY Lic. No. F -- Class F_
Contractor's Address Contractor's E-mail Address
City--- State F— Zip - Telephone��
SETBACKS REAR SETBACKS FRONT PERMIT NO. %CGL(/vL7 zbbb
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SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $