HomeMy WebLinkAboutXR2023-3101 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
F Corri (Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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)escription of Work
New/Add SF I 3 0 y
OWNER'S NAME
Owners Address
City N[� N�_
APPLICANT'S NAME
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Remodel SF �—
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Last
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Owner's E-mail Address
CON• ivVs 6',7 ,10
State (/A Zip z�6o Telephone yycr
Last I etywll.J
Applicant's Address
J71, 207
City 61 C/, , 6 n cc State
ARCHITECT/DESIGNER'S NAME Last F—
Architect/Designer's Address
City
oor
6A 9z<6O
Suite No
I Use F—ConstType r—
q • N</
# Stories #Units (if Res)
Valuation $
Garage/New/Add F— Material/Labo 20/ 911/
L cc First
First I y,
Applicant's E-mailrYdress
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Zip 7Zd° y'/ Telephone 9S1 •419 Y • z "7 z
First I Lic. No. �—
Architect/Designer's E-mail Address
State I Zip F_ Telephoned
First I �� + H Lic. No.
Engineer's E-mail Address
Zip C1 / 71 Z Telephone 5o9 ..566 • 6 0a
/ Lic No. I fxSW Classl5
Contractor's Address J // // Contractor's E-mail Address
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City Q�y State l/9 Zip .F l 1
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SETBACKS REAR SETBACKS FRONT PERMIT NO. 0-23 W o I
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. O2 • L
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $
ENGINEER'S NAME
Last I
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Engineer's Address
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City State I :
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CONTRACTOR'S NAME/COMPANY I