HomeMy WebLinkAboutXR2024-6442 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application o
r Comm] r Residential City of Newport Beach - Building Division /
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL —W
r-Building r Grading r-Drainage r Elec r Mech j- plum Cu Yd CutF_ Cu Yd Filf s
Project Address (Not mailing address) F Flood j- Fire r Liq r Landslide FN/A Floor Suite No
Description of Work
Use F—ConstTYp e s—
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co C L P+-V l l
# Stories # Units (if Res) s
valuation $
Material/Labor
New/Add SF Tj Remodel SF "l Garage/New/Add �—
OWNER'S NAME `C (1
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Owner's Address
Owner's E-mail Address I
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CityFFF State I Zip F— Telephone l( 2"7 -7 ": t Cl
APPLICANT'S NAME Last b/(L First (r'
Applicant's Address Applicant's E-mail Address
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cit �— rII Y 5
ARCHITECT/DESIGNER'S NAME Last _5✓1'JC� /�J Aj0i1UU t t_Lic. No. F—
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Architect/Designer's Address Architect/Designer's E-mail Address
City I State F— Zip F— TelephoneF—
ENGI 'S NAME Last First F Lic. No.s--
Engineer's Address Engineer's E-mail Address
City State F— Zip F_ Telephones--
CONTRACTOR'S NAME/COMPANY Vj>,,cF1 ( ��� �GjC � Cic.No. "Tz�ZClass
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Contractor's Address Contractor's E-mail Addrresss_
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City t s State f Zip �— Telephone�—
SETBACKS REAR SETBACKS FRONT /
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $