HomeMy WebLinkAboutXR2024-6262 - Permit ApplicationPrint Form _I Worksheet for Combo Building & Solar Permit Application R&A
r Comm'I F-Residential City of Newport Beach - Building Division
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Project Address (Not mailing address) f Flood r Fire f Liq r" Landslide (—N/A(— Floor
SuiteNo
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Description of Work
Use ConstType�
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#Stories #Units (if Res)
Valuation $
Material/Labor �
New/Add SF ;7, Remodel SF 1� l-�
Garage/New/Add F
OWNER'S NAME Last
First
Owner's Address
Owner's E-mail Address
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City G — a .?F- f State G-'-
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APPLICANT'S NAME Last
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Applicant's Address
Applicant's E-mail Address
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City
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ARCHITECT/DESIGNER'S NAME
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Architec Designer's Address
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Architect/Designer's E-mail Address
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ENGINEER'S NAME Last
First F_ Lic. No.
Engineer's Address
Engineer's E-mail Address
City State —
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CONTRACTOR'S NAME/COMPANY„ Gv. Lic. No. ic7Z,/ 27 Class
Contractors Address
Contractor's E-mail Address
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SETBACKS REAR SETBACKS FRONT
PERMIT NO. X ��'�y - �Zb Z,
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FFFS R