HomeMy WebLinkAboutX2019-3209 - Permit ApplicationF Comm I Residential City of Newport Beach -Building Division aPHP_
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing address) F Flood j Fire r- Liq F Landslide FN/A Floor Suite No
Description of Work
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# Stories # Units (if Res)
New/Add SF F_ Remodel SF�Valuation $
Garage/New/Add �- Material/Labor' ��
OWNER'S NAME Last
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Owner's Address IF
Owner' E-mail Address
city
State � Zip Telephone
APPLICANT'S NAME Last
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Applicant's Address Applicant's E-mail Address
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City state
ZIP .Telephone
ARCHITECT/DESIGNER'S NAME Last
First r.Lic No.
Architect/Designer's Address Architect/Designer's E-mail Address
City
State Zip. TelephonI__7
ENGINEER'S NAME La
First (.--.__....—.._.-. Lic. No. F-7—
Engineer's Address Engineer's E-mail Address
City State I Zip TelephoneF
CONTRACTOR'S NAME/COMPANY' Lic. No. Class
Contra r's. ddress .Contractor's E-mail Address
Cit
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SETBACKS REAR !� SETBACKS FRONT PERMIT NO.
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SETBACKS LEFT SETBACKS RIGHT PLAN CHECK N0.
USEZONE DEVELOPMENT NO
PLAN CHECK FEES $ _