HomeMy WebLinkAboutX2020-2349 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
F7, Comm'I Residential
City of Newport Beach - Building Division o®
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
r Building Grading Drainage Elec Mech �; Plum cued cutF771 17
curd Fm
Project Address (Not mailing address) F, Flood F Fire F-1 Liq Landslide nN/A Floor Suite No
Description of Work Use F_ � Const Type 177
# StonesF7 # Units (if Res)
Valuation $
New/Add SFF Remodel SFF-1 Garage/New/Ad - Mate al/Labor ` _,
OWNER'S NAME Last First a (�y l
Owner's Address Owner's E-mail Address
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City Nv�P��T State I t r Zip F17( Teleph e
TS
ApPlcantsAddr s'E Last ���- "APP First
,
licant's E-mail Address
City �p - ►1state Zip � Telephone - - I _
ARCHITECT/DESI Last ER'S NAME First Lic. No.
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Architect/Designer's Address Architect/Designees E-mail Address
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City - J State �' Zip [7777 Telephone—
ENGINEER'S NAME Last First i Lic. No.
Engineer's Address Engineer's E-mail Address
City State F Zip Telephoned—
CONTRACTOR'SNAME/COMPANY Lic. No. Class%
Contractor's Address Contractor's E-mail \Address
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Zip I d '- _ f V �� y�
city State Zi Telephone �t�j j_
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SETBACKS REAR SETBACKS FRONT PERMIT NO. '
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $