HomeMy WebLinkAboutX2022-0242 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application q00
Comm'I Residential City of Newport Beach - Building Division X 10�2_o2q 2
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMI L
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Address (Not mailing
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of Work
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Remodel SF Garage/New/Add
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OWNER'S NAME Last
Firsti ORNO W)
Suite No
Use PT Const Type -13
# Storiess # Units (if Res)
Valuation $
Material/Labor
Owner's Address Owner's E-mail Address
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APPLICANT'S NAME Last
First) 4J& J J
Applicant's Address
Applicant's E-mail Address
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City Ow 105 .._ _II State C?4
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Zip �( �S�. Telephone ���' ✓'/(�
ARCHITECT/DESIGNER'S NAME Last6►[(Ey First �Lic. No. FE
Architect/Designees Address
Architect/Designer's E-mail Address
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City 6Ur.1 Nt(t) State (f,4Zip
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ENGINEER'S NAME Last �— First F Lic. No.F
Engineer's Address
Engineer's E-mail Address
City State F
Zip—, Telephoned
CONTRACTOR'S NAME/COMPANY
Lic. No. —' Class!
Contractor's Address
Contractor's E-mail Address
City I State l i
Zip I Telephone
SETBACKS REAR SETBACKS FRONT
PERMIT NO.�
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. �7L
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $