HomeMy WebLinkAboutX2022-0585 - Permit ApplicationXZuZ u s
Worksheet for Combo Building & Solar Permit App !cat
rl Comm'I/ Residential City of Newport Beach - Building Division
df� NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing address) r Flood F_ Fire rl Liq r Landslide rN/A Floor Suite No
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Description of Work
Const Type
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# Stories # Units (if Res)
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New/Add SFr Remodel SF
Valuation $,
Garage/New/Add i Material/Labor
OWNER'S NAME Last
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First
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Owner's Address
Owner's E-mail Address>'
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APPLICANT'S NAME Last
First
Applicant's Address
Applicant's E-mail dress
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State
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ARCHITECT/ DESIGNER'S NAME shit
c itect/Desi ner's Address
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FCity � IL State
Zip F Telephoned
ENGINEER'S NAME Last 6vXk.Q_� First 9�j� Lic. No.1__C
Engineer's Address
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Engineer's E-mail Address
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Contractors AddressI't
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Zip l� Telephone
'AETBACKS REAR
SETBACKS LEFT
USE ZONE
SETBACKS FRONT PERMIT NO. X ?.0Z Z' ` 0525
SETBACKS RIGHT PLAN CHECK NO. 0521111� 2()ZZ
DEVELOPMENT NO PLAN CHECK FEES S 517,445