HomeMy WebLinkAboutX2020-2002 - Permit ApplicationPrint Form Worksheet for Combo Building $Solar Permit Application ?_��
ri Comm'I Residential City of Newport Beach -Building Division!) �� n e
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITT L Ci (�U G4.�a+•'
Building r Grading j-' Drainage F-! Elec F_ Mech F Plum Cu Yd Cut Cu Yd Fill
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Project Address (Not mailing address) F7 Flood r Fire I— Liq r Landslide F_N/A Floor Suite No
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Description of Work
Use�'I Const Type FI
# Storied' # Units (if Res)
Valuation $ 56C
Material/Labor
New/Add SF1_ Remodel SF1, Garage/New/Add —'',
OWNER'S NAME Last L G H y P iFirst
Owner's Address Owner's E-mail Address
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City G'4! l StateF Zip Telephone.
APPLICANT'S NAME Last G h \ �- F First V\
Applicant's Address Applicant's E-mail Address
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City M State L Zip q 4 Telephone �(�% Zb 2A Y
ARCHITECT/DESIGNER'S NAME Fit D G � �
Last � C C ' First O Y''pO � Lic. No. ic L 5 58
Architect/Designer's Address Architect/Designer's E-mail Address
G L ':a Y2 h Q, c G 4,el e't
Cityr ` b ---Ur S State Zip Ci I Telephone T F 0 /
ENGINEER'S NAME Last - First Lic. No.
Engineer's Address Engineer's E-mail Address
City State F Zip �— T$(ephonel
CONTRACTOR'S NAME/COMPANY p`�j N d Y' Lic. No. F Class F_'.
Contractor's Address Contractor's E-mail Address
City �— StateF Zip Telephoned
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.jjQj&.Uh
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $
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