HomeMy WebLinkAboutX2022-0813 - Permit ApplicationDescription of Work
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New/Add SF�— Remodel SF Garage/New/Add I —
OWNER'S NAME
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APPLICANT'S NAME Last 1
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Applicant's Address
Applicant's E-mail Acjdress
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ARCHITECT/DESIGNER'S NAME Last
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Print Form_J Worksheet for Combo Building & Solar Permit Application
(- Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing address) f Flood ( Fire r- Liq F_ Landslide F_N/A Floor Suite No
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Use Const Type
# StoriesF_ # Units (if Res)[ —
Valuation $ _
Material/Lab 30, AWoli
Last I Pt E I VGA
ENGINEER'S NAME Last
First F® Lic. No.r�
Engineer's Address
City State
Engineer's E-mail Address
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CONTRACTOR'S NAME/COMPANY h11 ''''-���� 1 r--
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SETBACKS REAR SETBACKS FRONT PERMIT NO. O� _
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USEZONE DEVELOPMENT NO
PLAN CHECK FEES S