HomeMy WebLinkAboutPV2024-0074 - Permit ApplicationPrint Form_ Worksheet for Combo Building & Solar Permit Application o4�� °Rr�
F_Comm'I Residential City of Newport Beach -Building Division o ` S
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 5"oa„,
rBuilding r Grading
rDrainage r Elec rMech
r Plum CuvdCut cuYdFill F
Project Address (Not mailing address) F_ Flood
r Fire r Liq r Landslide rN/A Floor Suite No
Description of Work
Use F—ConstType
# StoriesF_ # Units (if Res)F—
Valuation $
Material/Labor
New/AddSFF-- Remodel SFF Garage/New/AddF—
OWNER'S NAME
Last
First
Owner's Address
Owner's E-mail Address
City
State
Zip F TelephoneF_
APPLICANT'S NAME
Last
First
Applicant's Address
Applicant's E-mail Address
City
State I
Zip F— Telephoned
ARCHITECT/DESIGNER'S NAME Last
FirstF Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State [_
Zip F__ Telephoned
ENGINEER'S NAME
Last
First F— Lic. No.F
Engineer's Address
Engineer's E-mail Address
City
State F_
Zip r TelephoneF_
CONTRACTOR'S NAME/COMPANY
Lic. No. ClassF
Contractor's Address
At
Contractors E-mail Address
City �
State F_
—
Zip F_ Telephonel
SETBACKS REAR
SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. PC 20 2LI ' OS U `b
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $