HomeMy WebLinkAboutX2022-0889 - Permit Application1__ Print Form °vdorksrteet for Comb® Building & Solar Permit Application �EW�gr
City of Newport Beach - Building Division
( Comm'I (— Residential g
NOTE: PLAN CHECK FEES DUE AT TIME OF suFSMITTaI
FBuilding F_ Grading f—Drainage [Elec F_Mech Plum cu rd CutF Cu vd Fill �
Project Address (Plot mailing address) F_ Flood r" Fire F_ Liq r Landslide [_N/A Floor Suite No
Description of Work
Use F_ Const Type
# StoriesF # Units (if Res)F
Valuation $
Material/Labor F�
New/Add SF�— Remodel SF�— Garage/New/Add
OWNER'S NAME Last First
Owners Address Owner's E-mail Address
City State F Zip Telephone
APPLICANT'S NAME Last First
-
Applicant's Address Applicant's E-mail Address
City State F— Zip Telephone
ARCHITECTIDESIGNER'SNRME Last First F
- _ Lic. No. F—
Architect/Designer's Address Architect/Designers E-mail Address
City State Zip Telephone
ENGINEER'S NAME Last First Lic. No.
Engineer's Address Engineers E-mail Address
City State F Zip �— Telephone�—
CONTRACTOR'S NAME/COMPANY /Q�' Lic. Class
Contractors Address ntr ctor's E-mail ddress
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City State F Zip Telephone
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SETBACKS REAR SETBACKS FRONT ' • V 4 N XZ O L.L- 0( j q
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $