HomeMy WebLinkAboutXR2024-0833 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application
Comm'I F_ Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
F_Building r Grading F-Drainage r Elec (-Mech
r Plum CuvdCut F CuvdFill F
Project Address (Not mailing address) F_ Flood j- Fire L,iq, F_ Landslide FN/A Floor Suite No
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Description of Work
Use F—Const Type F_
s
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# StoriesF # Units (if Res)F_
Valuation $
Material/Labor P�
New/Add SF Remodel SF Garage/New/Add
OWNER'S NAME Last L \,V G
First
Owner's Address
Owner's E-mail Address
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Zip C� 2S Telephone %t�S , o 33 (
APPLICANT'S NAME Last Y� `G (ter
First
Applicant's Address
Applicant's E-mail Address
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ARCHITECT/DESIGNER'S NAME Last
First F-Lic. No. F--
Architect/Designer's Address
_
Architect/Designer's E-mail Address
City State �—
Zip F_ Telephonel—
ENGINEER'S NAME Last
First F_ Lic. NoF_
Engineer's Address
Engineer's E-mail Address
City State F
Zip Telephone
CONTRACTOR'S NAME/COMPANY CC
tn/- - NL
Lic. No. o ClassF
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Contractor's Address
Contractor's E-mail Address
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City State (j
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Zip Q//3 Telephone
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SETBACKS REAR SETBACKS FRONT
PERMIT NO. XR2q 0833
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. K2024-066$
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $