HomeMy WebLinkAboutX2020-2022 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
F- Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF RI IRMITTAi
rBuilding F Grading
rDrainage F_Elec FMech r Plum cuydCut F CuYdFill y
Project Address (Not mailing address) F Flood F_ Fire (— Liq F_ Landslide f N/A Floor Suite No
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Description of Work
Use y ConstType
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# Stories #Units (if Res)y
Valuation 1z/3M'QU
Material/Labor��/����
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New/Add SFI- �A
RemodelSFF% — Garage/New/AddF—
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OWNER'S NAME
Last First J,-j'AyAAoN�
Owner's Address
Owner's E-mail Address
24 7 `UI o eMl
N,4 CANj10 Ra
City D A A
State �- Zip I � „Z-!�_ Telephone 6a 161
APPLICANT'S NAME
Last First
Applicant's Address
Applicant's E-mail Address
Ciry �--
State I— Zip F Telephone�—
ARCHITECT/DESIGNER'S NAME Last ` - aAP4--_2A-7 First[ e5jUy Lic. No.(�
Architect/Designer's Address
Architect/Designer's E-mail Address
City State F Zip
"�- I t
Of ZJ,3Telephone q� %3S8^�2az
JFJ
/Lic.
ENGINEER'S NAME
Last First No.
Engineer's Address
Engineer's E-mail Address
City F
State F_ Zip F_ __
Telephonel
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CONTRACTOR'S NAME/COMPANY iLL0#t.Ll3 LYE Lic. No. L8 tS2C Class F-
Contractor's Address
"- as
Contractor's E-mail ddress
Li33
02
City FL �
State /�— Zip �,� f Telephone l ?4ZZ _ Q Q &�
SETBACKS REAR
SETBACKS FRONT PERMIT NO. X Zf_,)Z.o C_EJZ
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. 1 7 - (D-ZO
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $