HomeMy WebLinkAboutXR2023-1013 - Permit ApplicationPrint Form
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_J Worksheet for Combo Building & Solar Permit Application
F_ Residential City of Newport Beach - Building Division
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F Building F_ Grading
F-Drainage F- Elec r Mech (- Plum Cu Yd Cut Cu Yd Fill � `l
Project Address (Not mailing address) 7 Flood r Fire r Liq r Landslide I —N/A Floor
6 1hvern:s5
Suite Nc
Ln F_ F_
Description of Work
`
Use F— Const Type
# Storiesr— # Units (if Res)r-
Valuation in 00
Material/Labor
New/AddSF�---
Remodel SFr--
Garage/New/Add
OWNER'S NAME
Last First
Owner's Address
Owner's E-mail Address
City r—
State F_
ZiP F— Telephone ---
APPLICANT'S NAME
Last First
Applicant's Address
Applicant's E-mail Address
City
State [-- Zip F_ Telephoner----
ARCHITECT/DESIGNER'S NAME Last F—First F_ Lic. r--
No.
Architect/Designer's Address
Arch! tect/Designer's E-mail Address
City
State F_ Zip F_ TelephoneF�
ENGINEER'S NAME
Last First F_ Lic. No.r--
Engineer's Address
Engineer's E-mail Address
City r
State F_ Zip --
�— Telephoner
CONTRACTOR'S NAME/COMPANY Lic. No. F_ Class
Contractor's Address
Contractor's E-mail Address
City
� (�
_Zly \� Telephone
SETBACKS REAR
SETBACKS LEFT
SETBACKS FRONT
SETBACKS RIGHT
A.PERMIT NO.
PLAN CHECK NO.
USE ZONE _ DEVELOPMENT Nn nl Ahi 11