HomeMy WebLinkAboutX2021-3288 - Permit Application (2)X2021- 32N6
PnntForm Worfor Conlbo Building & Solar Permit Application
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OTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
❑Building, Grading
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Project Address (Not mailing address) E- Flood
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Description of Work
Use C_onstType�36
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# Stories # Units (If Res)
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aluation $
New/AddSFE-11
Remodel SF Garage/New/Add—j Materialr
OWNER'S NAME Last G _'—--------^
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Owner's Address
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Owner's E-mail Address
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APPLICANT'S NAME
Last
pplicant's AddressApplicant's
E-mail Address
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-City
ARCHITECT/DESIGNER'S NAME Lasti-..._
j First Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
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State —I
Zip[_ —'i Telephone--,---!
First
' Lemic. No.— j
ENGINEER'S NAME
Last
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Engineer's Address
Address
Engineer's E-mail
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State FI f
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Zip � —� Telephone—
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\' CONTRACTOR'S NAME/COMPANY a
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Contractor's Address Contractor's EE -mail Address
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State Zip /�i�(j Telephone
REAR SETBACKS FRONT PERMIT NO.
EFT SETBACKS RIGHT PLAN CHECK NO.
DEVELOPMENT NO e ,(-NCHECK FEES $
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CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
949-644-3200
PLAN PROCESSING REQUEST
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DESCRIPTION:C- ;( z T2
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KLAN CK #:
❑ NEW ( OTC I APC I SUBMIT)
R" UBMIT ( recheck/ process RFI) H(L,
2 )`
REVISION (delta # pc hrs.
# of PAGES (plans eO 8% x11 )
BLDG STATUS: AP IPA I C PP
EMP STATUS: APIPA/COIPP
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DEPTIDIV REVIEW NEEDED: (circle requi
1
PLNG PW EMP HARBOR FIRE GRADING
Engineer: �<
Contact Name & #:
Farms\PlanProcassin9Requesf
date: