HomeMy WebLinkAboutX2018-3870 - Permit ApplicationNmw
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et..for Combo Building & Solar Permit Application oIS- e
❑.Comm'I ❑ Residential
City of Newport Beach - Building Division o
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N CHECK FEES.DUE AT TIME OF SUBMITTAL
Buildin Gradin
❑ 9 ❑ 9
❑Drainag,
Ele ❑Meth ❑Plum cu Yd cut
uvd fill
Proje0 Address, (Not marling , ess) ❑ Flood � Fire ❑ Liq ❑ Landslide ' . /A Floor Suite No
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Description 'of Work
Use
Const Type
#Stories.
#:Units,(ifRes)❑
New
'
dd F
- Valuatlon
Remodel SF Garage/New/Add .Material/Labor
$
OWNE
'S•NAME
Last, First":
Owners ,
17
'Owner's &rriail'Address
*,
City, .• —state Z(p Telephone
;
�►PPLICANT S NAMELast.
First
"_"'
""AppllcadEs gddr'ess -
- Applicant's E-mail Address
ITT
State'
Zip Telephoned
,,City
ARCHITECT/DESIGNER'S NAME 7-7
Last First �' Lit. No. a
. ArchitecUl)esigner's Address
ArchiteWbestgnees,E-mail Address.+
,City
State' j
Zip
Telephoned
ENGINEER'S NAME
Last,
fFIrs
Lic. No.. .
.' Engineer's.Address .
Engineer's E-mail Address °.
City
State Zip
Telephone
CONTRACTOR'S NAME/COMPANY
�C�1U.W n
Lc. No. r Class
Contractor's Address .
Contractor's Email Address
City
State Zip
Teleph6ne[44j�i7
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E CKS REAR
SETBACKS FRONT PERMIT NO.
l
SA S LEFT
SETBACKS RIGHT PLAN CHECK NO. F ['
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $