HomeMy WebLinkAboutX2020-1256 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application 014W
F Comm'I j- Residential City of Newport Beach - Building Division
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Wuilding FGrading
F-Drainage W�Elec FMech KMplum Cu Yd Cut[_ Cu Yd Fill
Project Address (Not mailing address) F_ Flood r` Fire C- Liq F_ Landslide F_N/A Floor Suite No
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Description of Work
Use I Const Type V - 3
New rJ Ur>rt
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# Stories # Units (if Res)
Valuation $
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New/Add SFF Remodel SF �— Garage/New/Add �—
OWNER'S NAME Last First
First
Owner's Address
Owner's E-mail Address
413 3 vi'(151.
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Zip I �I Z(e G'S Telephone
APPLICANT'S NAME
Last f'>((( (- FirstF 64YZ43090
Applicant's Address
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Applicant's E-mail Address
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ARCHITECT/DESIGNER'S NAME Last
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Architect/Designer's Address
Architect/Designer's E-mail Address
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State CA , Zip Gl2?0-7 Telephone p 7t4-9Zc.-4Z543
ENGINEER'S NAME
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Last �.� LCs9�IS
Engineer's Address _ - -
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_ Engineer's E-mail Address
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City 5�_T A-r-/A-
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State Ci4, ZipI _!'j—']6 Telephone 7!.
CONTRACTOR'S NAME/COMPANY Col_ �CiNCii(or.) ` Lic. No. 0 3?a Tlassf —l3 --
Contractor's Address
Contractor's E-mail Address
City
State F— Zip F Telephone[
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. f%
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $