HomeMy WebLinkAboutX2020-0727 - Permit Application_ Print Form_ Worksheet for Combo Building & Solar Permit Application
(— Comm'I Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SIIRMITTAI
❑Building F_Grading [Drainage F'Elec [Meth [,Plum Cu vd cut Cu Yd Fill
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Project Address (Not mailing address) F. Flood [ Fire [ Liq F Landslide [N/A Floor Suite No
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Description of Work
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# StoriesC1 # Units (if Res)F
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Valuation $
Material/Labor Ff7l�r__)G_
New/Add SF Remodel SFF — Garage/New/Add
OWNER'S NAME Last First
Owner's Address
Owner's E-mail Address
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City NLC'��., f 1, _� State /:�. Zip 21.�(vCJ � f Telephone' --
APPLICANT'S NAME Last �,j^c.�-,;ie,'. First
Applicant's Address Applicant's E-mail Address
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City �_.t�_ _ cch_ State Ll Zip 'jZto%C. Telephone
ARCHITECT/DESIGNER'S NAME
Last _ �.c2/G�,'u�.✓--- -: First .SCa t'1' Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
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City co a� -.rT 1 /Y/Cr _ State -1,fa-
Zip {jL(v;Z Telephone ,�L<�_i. i
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ENGINEER'S NAME Last _ - _ _ _-. First Lic. No.�
Engineer's Address Engineer's E-mail Address
City - - _ State I Zip F— Telephoned
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CONTRACTOR'S NAME/COMPANY Lic. No. E77 Class
Contractor's Address Contractors E-mail Address
City State F— Zip F— Telephone
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $