HomeMy WebLinkAbout2939-2021 - Permit ApplicationPrint Foam Worksheet for Combo Building & Solar Permit Application
F_ Comm'I �I Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL c „M,
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Description of Work
Use F— ConstType C
# Stories # Units (if Res)
Valuation $
Material/Labor
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1 T N
New/Add SF Remodel SF ! Garage/New/Add F
OWNER'S NAME Last �(� �)~ First
Owner's Address Owner's E-mail Address
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City State Ziptjldjk&Telephoned
APPLICANTS NAME Last .— r— First
Applicant's Address Applicant's E-mail Address
City State Zip TelephoneE_—
ARCHITECT/DESIGNER'S NAME Last F First Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
City State C Zip Telephoned—,
ENGINEER'S NAME Last First Lic. No.�'
Engineer's Address Engineer's E-mail Address
City State Zip Telephone
Ro.
CONTRACTOR'S NAME/COMPANY Li lass
Contractor's Address Contractor's E-mail Address
— - ----- — ------------
City State Zip one—
SETBACKS REAR SETBACKS FRONT t PERMIT NO. T `
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $