HomeMy WebLinkAboutX2020-1407 - Permit Application�G
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Print Form I Worksheet for Combo Building & Solar Permit Application
Comm'I r: Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing address) [ Flood F Fire r Liq F. Landslide N/A Floor Suite No
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Description of Work
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Stories # Units (if Res)
Valuation $ /� j
Material/Labor
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New/Add SF�TRemodelSF� Garage/New/Add
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OWNER'S NAME Last J 1
First
Owner's Address
Owner's E-mail Address
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Zip Gt� Telephone "714_14C�-67"ZJ
APPLICANT'S NAME Last
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Applicant's Address
Applicant's E-mail Address
City State-
Zip Telephone
ARCHITEC /DESIGNER'S NAME Last _ - _
__''.. FirstE_; Lic. No.
ArchitecUDesigner's Address
Architect/Designer's E-mail Address
City _ __-- _ _ State �—.
Zip Telephone
ENGINEER'S NAME Last Pwas, - _ First Lic. No.F_
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Engineer's Addr
Engineer's E-mail Address
JCity State
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CO TRACTOR'S NAMEKOMPANY j Lic. No. Class L I D
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Contractor's Address
Contractor's E-mail Address
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City JA- State
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Zip Telephone C
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SETBACKS REAR SETBACKS FRONT
PERMIT NO. X20zo 1404-
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. -L?i
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $