HomeMy WebLinkAboutE2023-0445 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application o4�Ew�am
r Comm'I r Residential
City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
F_Building r Grading
rDrainage r Elec r Mech r Plum CuvdCut CuvdFill F_
Project Address (Not mailing address) r Flood r' Fire r Liq r Landslide rN/A Floor Suite No
F__ F__
Description of Work
Use F—Const Type F_
# StoriesF_ # Units (if Res)F—
Valuation $
Material/Labor
New/Add SFF—
Remodel SF�— Garage/New/Add i—
OWNER'S NAME
Last First
Owner's Address
Owner's E-mail Address
City
� State F— ZipF Telephoned
APPLICANT'S NAME
Last First
Applicant's Address
Applicant's E-mail Address
City
State �— Zip F_ Telephoned
ARCHITECT/DESIGNER'S NAME
Last First 7—Lic. No. F—
Architect/Designer's Address
Architect/Designers E-mail Address
City
State F_ Zip �— Telephone�—
ENGINEER'S NAME
Last �— First 7— Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State F— Zip F Telephonel—
CONTRACTOR'S NAME/COMPANY .�j Lic No.S ��3 Class C7/0
Contractors
Contractor's E-mail Address
/Address
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City.�
State TT e hone T-- 5rz-(I(,
SETBACKS REAR
SETBACKS FRONT PERMIT NO. 6202-s- DYyS
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. 4FLZOZ3 - // Lit,
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $