HomeMy WebLinkAboutX2021-0481 - Permit ApplicationPrint Form 'Worksheet for-Coniloo Buildir & Solar Permit Application
F Comm'I 7eResidential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building
F_ Grading F-Drainage P<Elec ( Mech F7*Plum Cu vd Cut Cu Yd Fill F
Project Address (Not mall
Description of Work
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address) r Flood F Fire j- Liq r Landslide
New/Add SF Remodel SF Garage/New/Add �—
OWNER'S NAME Last
Owner's Address t!
City C To 4c � ._I/11i3"State f
APPLICANT'S NAME Last
Applicant's Address
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City F State r-
ARCHITECT/DESIGNER'S NAME Last
Architect/Designer's Address
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city /�ti,j State
ENGINEER'S NAME
Engineers Address
First I FOP
Owner's E-mail Address
Zip Telepl
First
.,Applicant's E-mail Address
KN/A Floor Suite No
- F_ F-.
Use F— ConstType F_
# Stories7 # Units (if Res)[_
Valuation $ �
Material/Labor
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Zip F_ Telephoned
I
/ First I' ,( C, yr J Lic. No. r ,
, L
ArchitecUDesigner's E-mail Address
Zip Telephone
Last f lUjd U ` First 1-�1 /t W Lic. No.E
City i P� 0L State ./-'<
CONTRACTOR'S NAME/COMPANY
Contractors ddre t5
City State
SETBACKS REAR
SETBACKS LEFT
USE ZONE
Engineer's E-mail Address,/
vIrL (y1�)A�
Zip 1�Telephone)3�
Li . No. �— Class
Contr ctors E-mail Address
Zip F Teleonone[_
SETBACKS FRONT PERMIT NO. XZo Zl — C)I a
SETBACKS RIGHT PLAN CHECK NO. o `{`(S — ZpZ(
DEVELOPMENT NO PLAN CHECK FEES $