HomeMy WebLinkAboutX2021-2466 - Permit ApplicationPrint Form . Worksheet for Combo Building & Solar Permit Application
j Comm'I [—.[ Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
X.Building ❑ Grading ODrainage
Address
of Work
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Cu Yd Fill
F—JW/A�r-�Floor
--�� Suite No
r I# Stories # Units (if Res)�I
-- — --�J /
New/Add SFr Remodel SF
---Garage/New/Add RdValuation $ (07 —.___� _�� l y--Material/Lab— I
OWNER'S NAME Last ' or
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yy J
vt��tNl Fist
Owner's Address _f ---- --- —J
Owner's E-mail Address
City —
zRtlir✓� _ State Zip 9f �6t� l Telephone a�?L%nel
APPLICANT'SNAME Last
First
Applicant's Address ------- "--------�
l�1 Applicant's E-mail Address
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— - MCI fit% s� �fki,cL.— State ` /t !L
C Zip �J7 Telephone
ARCHITECT/DESIGNER'S NAME
Last _�)\ pip Firs[ 6I ��
-- �--- -----�-._1/1- I Lam--- I Lic. No. 1 %'
ArchitecUDesigners Address ---=
Architect/Designer's E-mail Address
City �� / / — —
.� State L "r - it Zip q'Z 1�601 Telephone q C4
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ENGINEER'S NAME Last
J First I Lic.No. r—
Engineer's Address Engineers E-mail Address
I
City --
State
I ZIP Telephone i
CONTRACTOR'S NAME/COMPANY
Lic. No -
Contractor's Address Contractors E-mail Address
City -- ------ - _
State
---..--_ _i i ZIP � Telephone
SETBACKS REAR SETBACKS FRONT PERMIT NO. 6
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. r I
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $