HomeMy WebLinkAboutXR2022-2493 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application VF? =
r— Comm'I F_ Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TWF: nF ci iannirrni
F—Building F_ Grading F—Drainage j—Elec r—Mech r Plum Cu Yd Cut Cu Yd Fills
Project Address (Not mailing address) F_ Flood r✓Fire [_ Liq F_ Landslide F_N/A Floor Suite No
Description of Work adtcco I Use ConstType s
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# Stories # Units (if Resf
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New/Add SFFValuation
Remodel SF � Garage/New/Add �— Material/Labor
OWNER'SNAME Last ���I
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Owner's Address J
Owners E-mail Address
State (�J_ Zip F 9/_,z v Telephone �Z
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Applicant's E-mail Address
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State
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Last F First— Lic.No. �—
Architect/Designer's E-mail Address
State �— ZIP[-
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at First F_ Lic. No.F_
Engineers E-mail Address
State �— ZIP[—
Telephoner—
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Contractors E-mail Address
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Telephon -71Y 1915/y4
SETBACKS FRONT PERMIT NO.
SETBACKS RIGHT
DEVELOPMENT NO
PLAN CHECK NO.
PLAN CHECK FEES $
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