HomeMy WebLinkAboutX2020-1400 - Permit ApplicationPant Foam ; Worksheet for Combo Building & Solar Permit Application
[ Comm1 [ Residential City of Newport Beach - Building Division 1
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL -,:
Building [ Grading
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Project Address (N),Dyainage
mailing address) [] Flood [ Fire F. Liq [ Landslide ❑N/A Floor Suite No
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De ription of Work
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Use 11L1 i Const Type
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# StoriesC #Units (if Res)F
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Valuation $
Material/Labor O
New/Add SF �Remodel SF 'Z b 0 d Garage/New/Add iL
61,7
OWNER'S NAME
Last .�wil�--� First
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Owner's Address
Owner's E-mail Address
City
State 1 to �q,
� Zip_ Telephone 3 `j
APPLICANT'S NAME
Last M First
Applicant's Address
Applicant's E-mail Address
City
State—'! Zip ' Telephone
ARCHITECT/DESIGNER'S NAME Last Y`A First j Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
C91��
City
StateZipZip Telephone.'
ENGINEER'S NAME
Last p U First Lic No.
Engineer's Address
Engineer' -mail Address
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City V
State Zip _ �' Telephone 2 0
CONTRACTOR'S NAME/COMPANY '., Lic No. - _ 'i Class
Contractor's Address
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Contractor's E-mail Address
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— telephonel
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Ccity
State Zip
SETBACKS REAR
SETBACKS FRONT PERMIT NO. 7 -)W —v� 4n3
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $
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