HomeMy WebLinkAboutXR2024-1009 - Permit Application-Pant Form I >; Workslreetfor Combo Building & Solar P&rmit Applicafion
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Comm'I Residential City of Newport Beach -Building Division ��
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL V:
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Project Address (Not mailing address) C Flood r Fire r- Liq r Landslide _N/A Floor Suite No
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Description of Work
Use F)�J_ ConstType �/_D
# StoriesT # Units (if Res)F
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New/Add SF ..L(.-p-oRemodel SFF---Garage/New/Add I Valuation $Material/Material/Labor
OWNER'S NAME Last
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Owner's Address
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City I u t
APPLICANT'S NAME
Applicant's Address
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City Cr<#lrlM't
First I MjqTi
Owner's E-mail Address
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State Zip rl— i_., � Telephone �� - 8�•j8 - 7 r-72
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Applicant's E-mail Address
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Architect/Designees Address Architect/Designees E-mail Address
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City Itit j State �) Zip y2� j3 Telephone--
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ENGINEER'S NAME Last First �j
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Engineer's Address Engineer's E-mail Address
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City (�ItF(CXJAM 0"5 State Cry Zip - 9Z(, T Telephone
CONTRACTOR'S NAME/COMPANY ^' - / /�`� Lic. No. Sibs Class
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Contractors Address Contractor's E-mail Address
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City /VGW Or t� State /L q (�7-�6�? _L O/f1 ._
( P Zip l �` G L D Telephone "JAI J �G b&\
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USE ZONE DEVELOPMENT NO
PERMIT NO. X2 tcf - loyI
PLAN CHECK NO. PL2cfZ,�I _ 07 b
PLAN CHECK FEES $