HomeMy WebLinkAboutX2021-0688 - Permit ApplicationPrint Foam Worksheet for Combo Building & Solar Permit Application
r Comml `Residential City of Newport Beach - Building Division
OTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Project Address (Not maili
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Description of Work
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address) C' Flood
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Cu Yd Fill
Fire [ Liq [i Landslide FN/A
Floor Suite N(
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{{'' Use F—ConstType I—
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# Stories # Units (if Res)F—
New/AddSF! Remodel SF �d Valuation$
Garage/New/Add Material/Labor /•�
OWNER'S NAME Last
Owner's Address
city —_ State
APPLICANT'S NAME
Last
Applicant's Address
City Qj State
ARCHITECT/DESIGNER'S NAME
Owner's E-mail Address
Zip
Applicant's E-mail Address
t a OYI—��
Zip 2_ Telephone .. I
Last First
Architect/Designees Address
City State I
Lic. No. I—
Architect/Designer's E-mail Address
Zip Telephone
ENGINEER'S NAME Last First
Lic. NoT—
Engineer's Address Engineer's E-mail Address
City - -- —_�
State F_ Zip Telephone
CONTRACTOR'S NAME/COMPANY r � ic.No. j Class
�s
Contractors s — Contractor's E-mail Address
l ►1n CC
City NPR State Zip Telephone ---
SETBACKS REAR
SETBACKS LEFT
USE ZONE
SETBACKS FRONT
SETBACKS RIGHT
PERMIT NO. X2�1 - OCOZ
PLAN CHECK NO. 2!!eM - - o
DEVELOPMENT NO
PLAN CHECK FEES $