HomeMy WebLinkAboutXR2023-2358 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application 00�
r Comm'I r- Residential City of Newport Beach - Building Division
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rBuilding F_Grading F-Drainage rElec F_Mech f—Plum CuvdCut s cuYdFill s
Project Address (Not mailing address) F FloodF_F_Fire Liq r Landslide FN/A Floor Suite No
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Description of Work
Use F— Const Type F_
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#Stories #Units (if Resf
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Valuation $
Material/Labor
New/Add SF ) N` w : u3Garage/New/Add F—
OWNER'S NAME Last J'' l—O Yt,�_ First
Owner's Address Owner's E-mail Address
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City N Zit% ap (0, -r State I (IX Zip (Z(P�Pt7 Telephone e7 � `9 b 1p 5�5 J
APPLICANT'S NAME {,�
Last j�r��L First I ,�y2-�z,�y'1
Applicant's Address Applicant's E-mail Address
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City ss �� State C�— Zip c Telephone �-1 101
ARCHITECT/DESIGNER'S NAME Last First�
�' j'jt Lic. No. �—
ArchitectlDesigner's Adores s�1 Architect/Designer's E-mail Address
City State �— Zip Telephone
ENGINEER'S NAME r—Last FirstF_Lic No.�—
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Engineer's Address Engineer's E-mail Address
City State �— Zip F— Telephones--
CONTRACTOR'SNAMEXOMPANY �� � 1LS(�/i1t,j�Qt1 c � wU c_No.�— Class
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Contractors Address N k Contractor's E-mail Address
City I State �— Zip �— Telephones—!
SETBACKS REAR SETBACKS FRONT PERMITNO. XRto23"Z3S�
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. �CZoZ?_�UIS
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $