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HomeMy WebLinkAboutX2021-0107 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application r Comm'IrResidential X,202 1-010 7 City of Newport Beach - Building Division , NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL rXjBuilding rl Grading r,Drainage r'Elec rMech r Plum Cu Yd cute CuvdFill Project Address (Not mailing address) r Flood Fire Liq r Landslide r /A� F7 r- N Floor Suite No 1937 Port Trinity Description of Work Use Const Type 16" sq x 36" tall brick pilaster within 3 ft. of SE prop. line. # Stories # Units (if Resf New/Add SFF Remodel SFF— Garage/New/Add F— Valuation $ Material/Labor500 OWNER'S NAME Last First Owner's Address Owner's E-mail Address City State F- Zip F TelephoneF— APPLICANT'S NAME Last First Applicant's Address Applicant's E-mail Address City State �- Zip F_ Telephoned ARCHITECT/DESIGNER'S NAME Last First Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City State F_ Zip F_ Telephone�� ENGINEER'S NAME Last � First F_ Lic. No,F— Engineer's Address Engineer's E-mail Address City � State F_ Zip I Telephone— CONTRACTOR'S NAME/COMPANY Lic. NoT Class Contractor's Address Contractor's E-mail Address City StateF Zip Telephoner SETBACKS REAR SETBACKS FRONT PERMIT NO. 2-0-2 o� SETBACKS LEFT SETBACKS RIGHT PLAN CHECK 60. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ Print Form Worksheet for Combo Building & Solar Permit Application CommialX,20,21.0'0-7 City of Newport Beach -Building Division 'I r' Resident NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL FX -Building r Grading r–Drainage r Elec r Mech j–, Plum Cu Yd Cut Cu Yd Fill Project Address (Not mailing address) F_ Flood r Fire F- Liq r Landslide rN/A Floor Suite No 7937 Port Trinity Description of Work Use F—Const Type I� Retaining wall within 3 ft. of prop. line: 56 ft long x 2 ft. tall # Stories # Units (if Res)!, New/Add SFF_ Remodel SF( Garage/New/Add � Valuation$ 2000 Material/Labor" OWNER'S NAME Last �— First Owner's Address Owner's E-mail Address City State Zip F TelephoneF� APPLICANT'S NAME Last First Applicant's Address Applicant's E-mail Address City r State I Zip F_ Telephoned—�— ARCHITECT/DESIGNER'S NAME Last �— First F!�, Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City � State F_; Zip F_ TelephoneF� ENGINEER'S NAME --- Last First Lic No.F_ Engineer's Address Engineer's E-mail Address City State F— Zip �— Telephone[—� CONTRACTOR'S NAME/COMPANY Lic. No. F Class Contractor's Address Contractor's E-mail Address City �— State Zip F_ Telephoned SETBACKS REAR SETBACKS FRONT PERMIT NO. n y SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $