HomeMy WebLinkAboutXR2025-1711 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
F Comm'I P-Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing address) r— Flood f Fire r Liq I— Landslide FWA Floor Suite No
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Description ofWorkr(jd4/a1,0U /4 j//e�i:3 ro'" / '-U
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IF StoriesFP # Units (if Res)
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Valuation 5
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OWNER'S NAME,/ Ae lasr �12--- �7��ti
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Owner's Address Owner's E-mail Address
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City /(' �- State �/ i`� I . _ _ /qf%
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APPLICANT'S NAME Last-L- /I ` First Ay
Applicant's Address Applicant's E-mail Address
City / /C-/2, ,A 1S(/3 n; �� State A Zip ` 4; / % Telephone 7/ ' - 72Z+ -. 4 t -Z-e
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ARCHITECT/DESIGNER'S NAME Last z/�W / First- /J�
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Architect/Designer's Address Architect/Designer's E-mail Address
City State Zi TelephoneF—
ENGINEER'S NAME Last First F Lic. No.�—
Engineer's Address Engineer's E-mail Address
City State F Zip TelephoneF—
CONTRACTOR'S NAME/COMPANY Lic. No. F_— Class
Contractor's Address Contractor's E-mail Address
City State F— Zip F TelephoneF—
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $