HomeMy WebLinkAboutPV2022-018 - Permit Application (2)Worksheet for Combo Building & Solar Permit Application
Comm'I F -I Residential
❑Building ❑ Grading
Project Address (N
ity of Newport Beach - LAN CHECK FEES UE AT TME OF SUB
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❑Drainage ❑Elec FMech r; Plum Cu Yd Cut l Cu Yd Filln
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Description of Work
address) [Flood j -J FireLiq 7 Landslide []N/A Floor Suite No
1 L-7�
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New/Add SF[-- RemodelSFF � Garage/New/Add
OWNER'S NAME Last
First
Use F-1 ConstType L J
# Units (if Res)n
Owner's Address Owner's E-mail Address
City_--------- - State �� Zip CI Telephoner 7_7
APPLICANTS NAME Last
Applicant's Address
City ----- - ----- State ------I
First
Applicant's E-mail Address
Zip F-7-7 Telephoned
ARCHITECT/DESIGNER'S NAME Last First
C— - ----I � ': Lic. No.
Architect/Designers Address
City - - - - State
Architect(Designees E-mail Address
Zip F _7 Telephoned
ENGINEER'S NAME Last �— First [ - - � Lic. No.F ------ 7
Engineer's Address
City State
CONTRACTOR'S NAME/COMPANY
Contractor's Address
city I
Ci -�{ ---- - -- --J State
-I (!hJ
SETBACKS REAR
SETBACKS LEFT
SETBACKS FRONT
SETBACKS RIGHT
USE ZONE DEVELOPMENT NO
Address
Zip ] Telephoned
Lic. No.r ri Class
n
Contractors E-mail Address
ZipTelephon
s
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PERMIT NO.
NMI
PLAN CHECK NO. 014". 44i
PLAN CHECK FEES $