HomeMy WebLinkAboutX2019-2451 - Permit ApplicationWorksheet for Combo Building & Solar hermit Applicationnaw
r COmm'l j Residential City of Newport Beach - Building Division
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Project Address (Not mailing address F Flood
Fire Li Landslide � � q � Floor Suite No
Description of Work
Use I Const Type F
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# StoriesF # Units (if Res)F-1.
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Valuation $
Material/Labor Y51C.
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New/AddSF�— Remodel SF F_ Garage/New/Add�-
OWNER'S NAME ,' - Last
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Owner's Address /
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Owner's E-mail Address
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Zip caTelephoner
APPLICANT'S NAME ,� x
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First /
Applicant's Address
Applicant's E-mail Address
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ARCHITECT/DESIGNER'S NAME Last
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Architect/Designer's Address
Architect/Designer's E-mail Address
City �— — State Zip l Telephone_'~
ENGINEER'S NAME. Last
First Lic. No.�...
Engineer's Address
Engineer's E-mail Address
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CONTRACTOR'S NAME/COMPANY
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Contractor's Address
Contractor's E-mail Address
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SETBACKS REAR SETBACKS FRONT}
PERMIT NO. �"i
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SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE .DEVELOPMENT NO
PLAN CHECK FEES $