HomeMy WebLinkAboutPV2023-0422 - Permit ApplicationPrint Form IWorksheet for Combo Building & Solar Permit Application
r Comri r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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rt Address (Not mailing address
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rN/A Floor
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Suite Nc
# Storie # Units (if Res)[—
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OWNER'S NAME Last
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Material/Labor J
Owner's Address
4 za e Owner's E-mail Address
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APPLICANT'S NAME
Applicant's Address
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ARCHITECT/DESIGNER'S NAME
Last
Architect/Designer's Address
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Applicant's E-mail Address
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First
Lic. No.
Architect/Designer's E-mail Address
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ENGINEER'S NAME Last
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Engineer's Address Engineer's E-mail Address
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City State �-- Zip F— Telephone[�
CONTRACTOR'S NAME/COMPANY a�V 1 -. i
�I ot/Lic Class
No. �—
Contractor's Address Contractor's E-mail Address
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ZiP F_ TelephoneF�
SETBACKS REAR SETBACKS FRONT
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SETBACKS LEFT SETBACKS RIGHT uj
V CHECIZ
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