HomeMy WebLinkAboutX2020-0424 - Permit ApplicationPrint Form Worksheet for Combo Building
& Solar Permit Application
City of Newport Beach - Building Division )00X0_NX.A
r" Comm'I j— Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing address) f
Flood F1 Fire F7 Liq r' Landslide F_N/A Floor Suite No
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Use 7Const Type �I
Description of Work r
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valuation $
Remo
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aterial/Labor
New/Add SF
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OWNER'S NAME Last
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Owner's E-mail Address
Owner's Address
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StateII zipI Telephone
City
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APPLICANT'S NAME Last V
Applicant's E-mail Address
Applicant's Address
1 State Zip �I Telephone
City I F
First Lic. No.
ARCHITECT/DESIGNER'S NAME La t
Architect/Designer's E-mail Address
Architect/Designer's Address
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I Telephone
City
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First
ENGINEER'S NAME Last
Engineer's E-mail Address
Engineer's Address
' Lic. No.
State �� Zip
Telephone
City
Class %% G U
No.
CONTRACTOR'S NAME/COMPANY % a
Contractor's E-mail Address
Contractot;s4ddress 11
Zip
elephone
Z
State
City
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SETBACKS REAR
SETBACKS LEFT
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SETBACKS FRONT
SETBACKS RIGHT
DEVELOPMENT NO
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEES $