HomeMy WebLinkAboutXR2023-0576 - Permit ApplicationPrintFor7m Worksbeet for Combo Building & Solar Permit Application HE �Rs
F_ Comm'1 F- Residential
City of Newport Beach -Building Division t
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
F-Building [Grading
F-Drainage F-Elec F-Mach F== Plum Cu Yd CuT Cu Yd Fillr
Project Address (Not mailing address) F_ Flood (- Fire F- Uq [_ Landslide FN/A Floor Suite No
Description of Work
Use � Const Type r
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� �� d�Ol�
-
# Stories #Units (if Res)r
_
Valuation $ �
Material/Labor (J
- - -
New/Add SF [—
Remodel SF FAO - Garage/New/Add
OWNER'S NAME
Last First
Owner's Address
Owner's E-mail Address
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City State �— Zip �— Telephoner-----
APPLICANT'S NAME
Last i First
Applicant's Address
Applicant's E-mail Address
City
State Zip �— Telephoner
ARCHITECT/DESIGNER'S NAME
Last �i First Lic. No. F—
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State �— Zip �— Telephoner--
ENGINEER'S NAME
Last First Lit. Nof --
Engineer's Address
Engineer's E-mail Address
City
State F__ Zip Telephoner
CONTRACTOR'S NAME/COMPANY Lic No. F Class
Contractor's Address
Contractor's E-mail Address
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City
State F-- Zip TelephoneF_
SETBACKS REAR
SETBACKS FRONT PERMIT NO. X���✓'D���
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $