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RECEIVED By
COMMUNITY
DEVELOPMENT
CITY OF NEWPORT BEACH JUL 312023
COMMUNITY DEVELOPMENT DEPARTMENT CITY of
BUILDING DIVISION NEWPORT BEACH
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8916
www newportbeachca.gov 1(949) 644-3200
1. Obtain approval from the Chief Building Official.
2. Pay $236.00 processing fee.
3. Obtain Electrical Inspector approval or final inspection.
(Insp. Initials)
4. Obtain Fire Department's approval or final inspection.
(Insp.
5. Obtain Structural Inspector approval. F
(Insp. Initials)
NOTE: If a Temporary Certificate of Occupancy expires and additional time is
granted (by the Chief Building Official) an extension fee of $125.00 will be charged.
Tp BE, COMPLETED BY APPLIQlANT
To: Chief Building Official
City of Newport Beach
100 Civic Center Drive, P.O. Box 1768
Newport Beach, CA 92658-8915
Job Address: -�f®
Building Permit Number: X 2y2o . 2-9 10,,%4s)
State reason for requesting the Temporary Certificate of Occupancy:
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How much time will you need to complete the project: 02 - `/ weo-S
Who will take responsibility to handle this matter to conclusion and will call for the final
inspection?
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(Name of Responsible Party) (Job Title) (Telephone Number)
(Signature of person who completed this form)
ForinATemporary Certificate of Occupancy Application 07/11/2023