HomeMy WebLinkAboutS2020-0151 - Permit Application (2)Print Fo to Worksheet for Combo Building & Solar Permit Application as
F- Comm'I Residential City of Newport Beach - Building Division vo4 0 - 0151
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building Grading rDrainage rElec rMech F- Plum Cu YddOIllCu Yd Fill
Project Address (Not mailing address) r- r Fire (-" Liq j- Landslide rN/A Floor Suite No
1561 gtluk 1 F_
Description of Work
Use I Const Type I
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# Stories #Units (if Res)
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Valuation $
Material/Labor
New/Add SFF — Remodel SF Garage/New/Add
OWNER'SNAME Last 4'�)C_3'M&' S' First
Owner's Address Owner's E-mail Address
City State F Zip [_ Telephonel
APPLICANT'S NAME Last First Gy
Applicant'sAddress Ap -mail ddress
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6 ('PI-i`O
City v State �— Zip ) Telephone(:-7/�� (7
ARCHITECT/DESIGNER'S NAME Last First f— Lic. No.
Architect/Designees Address Architect/Designers E-mail Address
city I State �— Zip ��– Telephone[
ENGINEER'S NAME Last �— First F— Lic. No.l�
Engineers Address Engineer's E-mail Address
City I State F_ Zip r— TelephoneF—
CONTRACTOR'SNAMElCOMPANY� (C,� (.��i7lV�! Lic. No. � ClassLO
Contractors Address Contractors Email Address
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city 4 /ifs' State F zip l %�QV� Telephone �/V57e �
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SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USEZONE DEVELOPMENT NO PLAN CHECK FEES$