HomeMy WebLinkAboutX2020-1557 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
r Comm'I r Residential City of Newport Beach - Building Division q
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Building F_ Grading r,Drainage lec ech Plum Cu Yd Cut — Cu Yd Fill
Project Address (Not mailing address) i Flood F Fire F Liq r; Landslide F ,N/A Floor Suite No
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Description of Work
Use ConstType F
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# Stories # Units (if Res)F_
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Valuation $ 1 s G�
Material/Labor
New/Add SF —j Remodel SF �T�I Garage/New/Add F—I
OWNER'S NAME Last !� First
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Owner's Address - --
__1 Owner's E-mail Address
City N State _ ZipZ one Teleph
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APPLICANT'S NAME Last % // 5 First ,—�
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Applicant's Address
Applicant's E-mail Address
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City State ,j -j
Zip
,6 I Telephone V z-
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ARCHITECT/DE SIGN ER'S NAME Last '! First F�, Lic. No. G Z 1�
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ArchitecUDesigner's Address � �Architect/Designer's E-mail Address
City State Zip I , Telephoned —I
ENGINEER'S NAME Last ' /
L/(/j First d lesy Lic. No.
Engineer's Address Engineer's E-mail Address
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city State �� Zip � Sr 3 ', Telephone.
CONTRACTOR'S NAME/COMPANY r — y q ( Lic. No.
/17, /1 7> �S/ !Class
Cjontrraactor's Address Contractor's E-mail Address
City � 7 State —. ZiP 7 ! Telephone
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SETBACKS REAR SETBACKS FRONT PERMIT NO. C- .0 7
73
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. b15
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $