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HomeMy WebLinkAboutXR2024-6653 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application (S', - —� 9 ppr Comm'I Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Building rGrading F-Drainage rElec rMech rPlum Cu rd cut Cu Yd Fill Project Address (Not mailing address) r Flood r Fire f Liq r Landslide FN/A Floor Suite No q n_2 � (J ILISti��t\nt\'t� 7 Description of Work Use �zConst Type 'v-g # StoriesF # Units (if Res)F Valuation $ Material/Labor New/Add SFF_— Remodel SF 7`al- Garage/New/Add �— OWNER'S NAME Last First Owner's Address Owner's E-mail Address City State I Zip F TelephoneF_ APPLICANT'S NAME Last �— First Applicant's Address Applicant's E-mail Address City State F_ Zip F_ Telephoned ARCHITECT/DESIGNER'S NAME Last First r— Lic. No. �— Architect/Designer's Address Architect/Designer's E-mail Address City State I Zip F— TelephoneF_ ENGINEER'S NAME Last First Lic. NoF Engineer's Address Engineer's E-mail Address City State F_— Zip F Telephone CONTRACTOR'S NAME/COMPANY Lic. No. F_— Class Contractor's Address Contractor's E-mail Address City State �— Zip F_ Telephoned SETBACKS REAR SETBACKS FRONT PERMIT NO. XI 0 2-L� 465 3 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $