HomeMy WebLinkAboutU2025-0482 - Permit ApplicationI Print Form . j Worksheet for Combo Building & Solar Permit Application
r- Co m'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Address (Not mailing
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Description of Work
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F_ Mech r Plum Cu Yd Cut Cu Yd Fill
F_ Flood r Fire r Liq r Landslide r-N/A Floor �S�uittee No
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New/Add SF /7O 30FT RemodelSFF— Garage/New/AddF—
OWNER'S NAME Last I N 0
Owner's Address
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City �/� rj a C � State F
Use F—ConstType F_
# StoriesF_ # Units (if Res)-
Valuation -�
Material/Labor
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Owner's E-mail Address
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Zip �j�'D Telephone 7i2-1 c�%�
APPLICANT'S NAME Last I S First I Vu
Applicant's Address Applicant's E-mail Address
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City (�- ! VtW-1 t State I ---- Zip 9( Telephone 6�i�i �Z(
ARCHITECT/DESIGNER'S NAME Last First I Lic. No.F__
Architect/Designer's Address Architect/Designer's E-mail Address
City State rZip F Telephon4
ENGINEER'S NAME Last
First F_ Lic No.F—
rEngineer's Address - Engineer's E-mail Address
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City State F_ Zip F_ Telephoned_
CONTRACTOR'S NAME/COMPANY
Contractor's Address
city
SETBACKS REAR
SETBACKS LEFT
Lic No. F— Class
Contractor's E-mail Address
W State F_ Zip F_ Telephone—
SETBACKS FRONT PERMIT NO.
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES S