HomeMy WebLinkAboutXR2024-1068 - Permit ApplicationPrint Form_ I Worksheet for Combo Building & Solar Permit Application SP
Comm'IResidential
City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding r Grading
rDrainage r- Elec r Mech r Plum CuvdCut � CuvdFill
Project_ Addre s Not mai 'n address) r Flood f Fire r Liq r Landslide r N/A Floor Suite No
Description of Work
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# StoriesF # Units (if Res)rZ
Valuation $
New/Add SF
Remodel SF TO
ZGarage/New/Add5�0
Material/Labor 0
OWNER'S NAME
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Owner's Address
Owner's E-mail Address
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State State Zip>
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APPLICANT'S NAME
Last First I E T I /t l I
Applicant's Address
Applicant's E-mail Address
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ARCHITECT/DESIGNER'S NAME Last First Lic No.
Architec0esigner's Address
ArchitecUDesigner's E-mail Address
City
State Zip I Telephone
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ENGINEER'S NAME
Last First F_ Lic. No.F-
Engineer's Address
Engineer's E-mail Address
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City
State Zip F Telephone
CONTRACTOR'S NAMEKOMPANY A�, tl� Ft IN I6 14 C IL) Lic. No. Fool Class
Contractor's Address
Contractor's E-mail Address
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SETBACKS REAR
SETBACKS FRONT PERMIT NO. ftZ.0 Q 6 p
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.Tt%0'444- 0$o6
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $