HomeMy WebLinkAboutX2021-2077 - Permit ApplicationPrint Form t Worksheet for Combo Building & Solar Permit Application ozW oRm
�i(' vV1 City of Newport t?each -Building Division
J` Comm'I R Residentia NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
QBuilding F_ Grading
rDrainage D?Elec , FMech rPlum Cu Yd Cute Cu Yd Fill!
Project Address (Not mailing address) r— Flood r Fire f— Liq j'" Landslide F7N/A Floor Suite No
607 Dorchester
F F—
Description of Work
UseConst Type
bio retention planter concrete
walls: 5 ft. long x 6 ft. tall and 5 ft.long z 2 ft'tall
# Storiess # Units (if Res)r,
New/AddSFF
Remodel SFF— Garage/New/AddF_
Valuation �(
Material/Labor
bor
OWNER'S NAME
Last First
Owner's Address
Owner's E-mail Address
'I
City.
State Zip— Telephone
APPLICANT'S NAME
Last First
Applicant's Address
Acplicarit's E-mail Address
City i
State F Zip Felephone ...__... _._
ARCHITECT/DESIGNER'S NAME Last F First F��.
Lic. N.o
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F Zip Telephone— - _-
ENGINEER'S NAME
Last i; First — �, Lic. No.1
Engineer's Address
Engineer's E-mail .Address
I
City (
_
State F_ Zip � �� Telephone
CONTRACTOR'S NAME/COMPANY Lic No. Class
Contractor's Address
Contractor's E-mail Address
City ��..
State F_, Zipr Telephone
SETBACKS REAR
SETBACKS FRONT PERMIT NO,
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO,
USE ZONE
DEVELOPMENT NO PLAN CHECK -FES $