HomeMy WebLinkAboutX2018-3815 - Permit Application-`61 V_Evleo-2Z5Xn
PInt Form Worksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division
❑ Comm'I F5QResidential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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❑N/A Floor Suite No
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Use s Const Type s
# Stories❑ # Units (if Res)❑
sss Valuation $
New/Add SF s � Remodel SF�s Garage/New/Add Material/Labor /
OWNER'S NAME Last Mp n-{ oLr Vo &L j k
Owner's Address
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APPLICANT'S NAME Last
Owner's E-mail Address
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Applicant's Address
Applicant's E-mail Address
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ARCHITECT/DESIGNER'S NAME Last
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Lic. No.
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Architect/Designer's Address
Architect/Designer's E-mail Address
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State �� Zip
Telephoned
City
ENGINEER'S NAME Last First ���„�,( Lic. No.
Engineer's Address
Engineer's E-mail Address
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CONTRACTOR'S NAME/COMPANY
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Contractor's Address
Contractor's E-mail Address
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SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $