HomeMy WebLinkAboutXC2024-0033 - Permit Application_ Print Form_ I Worksheet for Combo Building & Solar Permit Application o4�`Wm
City of Newport Beach - Building Division
F- Comm'I Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Description of Work
Use F—Const Type
# Stories #Units (if Res)
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Valuation $
Material/Labor 3
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OWNER'S NAME Last � f LS
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Owner's Address
Owner's E-mail Address
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APPLICANT'S NAME Last
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Applicant's Address
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Applicant's E-mail Address �-`tJtst
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ARCHITECT/DESIGNER'S NAME
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Architect/Designer's Address
Architect/Designer's E-mail Address
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ENGINEER'S NAME Last �—
First Lic. No.F—
Engineer's Address
Engineer's E-mail Address
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Zip �— Telephone
CONTRACTOR'S NAME/COMPANY Lic No. CI
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Contractor's Address
Contractor'sE-mail Address
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SETBACKS REAR SETBACKS FRONT)
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. � - O I $
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $