HomeMy WebLinkAboutX2020-0872 - Permit ApplicationPrint Form IWorksheet for Combo Building & Solar Permit Application o�`1
f Comm'I D< 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) I` Flood r Fire F- Liq F- Landslide FN/A Floor Suite No
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Description of Work
Use M Const Type l
# StoriesF_ # Units (if Res)F
Valuation 5
Material/Labor
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New/Add SF `I Q S,F;
Remodel SF Z,• $ Garage/New/Add [�1�
OWNER'S NAME
Last tI J/Y� TY\ First MG)4 je:,_
Owners Address
Owner's E-mail Address
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City NtwPOe� E�� State Zip �Z�b�i Telephone q� 6 z-00Z5_
APPLICANT'S NAME
LastFirst A��xau
Applicant's Address
Applicant's E-mail Address
City N�_uj;yr1Q ..
Cj � State I Cr` Zip aZ(,60 Telephone cii- GIZ-5c2s
ARCHITECT/DESIGNER'S NAME Last \ilYi (kZdi4KS FirstF— Lic.No. F&2m l�j
Architect/Designer's Address
Architect/Designer's E-mail Address
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City T•u�kEZ\C\I
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ENGINEER'S NAME
Last ES� -- t E —Im-rmc. First I—���.—.. - Licyplo,F
Engineer's Address%
l�r�'.y�r� �r—'s E-mail Address./(.
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City � KtAA
State C C Zip �'� Telephone IL.1_ J3S_ZBC:o
CONTRACTOR'S NAME/COMPANY G, r t '- t� n
N C � yl t��;r� W� ce�dr�_ Clc No. 3-tZ3z Class [3 (C $
Contractor's Address
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Contractor's E-mail Address
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City z2v L (st�
State CA Zip Telephone
SETBACKS REAR
SETBACKS FRONT PERMIT NO. ,`• L C'
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $