HomeMy WebLinkAboutX2021-2823 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application CF-Comm'I - Residential City of Newport Beach - Building DivisionNOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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I '.Print Form_ I Worksheet for Combo Building & Solar Permit Application
r Comm'I j� Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building I— Grading (-Drainage [ Elec j—Mech r Plum Cu Yd Cut F Cu Yd Fill F
Project Address (Not mailing
address) F_ Flood r Fire F_ Liq r Landslide rN/A Floor Suite No
Description of Work
Use Const Type
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# Stories # Units (if Res)F_
New/Add SF r/, Remodel SF — Garage/New/Add �
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Valuation $ j Q
Material/Labor[F//�
OWNER'S NAME Last
First
Owner's Address
Owner's E-mail Address
City
State �® Zip F Telephoned
APPLICANTS NAME Last
First
Applicant's Address
Applicant's E-mail Address
City I
State F_ Zip F_ Telephoned
ARCHITECTIDESIGNER'S NAME
Last First F F_Lic. No.
Architect/Designer's Address
Architect/Designees E-mail Address
City
State I ® Zip F TelephoneF
ENGINEER'S NAME Last
First F_ Lic. No.F
Engineer's Address
Engineer's E-mail Address
City
State �— Zip F TelephoneF
CONTRACTOR'S NAME/COMPANY
Lic. NoT ClassF
Contractor's Address
Contractor's E-mail Address
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SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. -
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $