HomeMy WebLinkAboutX2022-0106 - Permit Application (2)PnW eet for Combo Building 8 Solar Permit A
I -j Comml Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
j Building rGrading , rainage ❑Flet rlMech [ Plum cued cut
Address (Not mailing address) ❑Flood [ Firer Liq andslide
of Work
New/Add SFRemodel SF Garage/New/Add
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OWNER'S NAME Last I 7r-, r„ t. n r First I
Use FI Const Type
Valuation
Owner's Address Owner's E-mail Address
City cj State L \ zipI -'�P� / 'I -r TelephoneGil
APPLICANT'S NAME Last
Applicant's Address
City O(� State -.-!
First
# Units (if Res)�1
M
Applicant's E-mail Address
Le CJA -PT tva P, mans, corn------------
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ZipF6' ! Telephone!'j
ARCHITECT/DESIGNER'S NAME Last First Lic. No.
Architect/Designer's Address
- -- ---- - - ----- - - - - - - -J
City State—i
Architect/Designer's E-mail Address
Zip Telephone—
ENGINEER'S NAME Last �1 First F—Lic. No.[_j
Engineer's Address
City State I J
Engineer's E-mail Address
i
Zip Telephone
CONTRACTOR'S NAME/COMPANY Qp)Lic. No. 6a Classl i
Contractor's Address
City State `i`1 f
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SETBACKS REAR
SETBACKS LEFT
SETBACKS FRONT
SETBACKS RIGHT
Contractor's E-mail Address
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zip
-- ---- Zip OFL&Telephone
PERMIT NO.
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $