HomeMy WebLinkAboutX2021-2323 - Permit Application (3)F Comm'I
F -Building
Worksheet for Combo Building & Solar Permittl�Al^Ip/npllication n^
Residential City of Newport Beach - Building Division
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NOTE: PLAN CHECK FEES DUE AT TIME OF SUB L
F_Grading j—;Drainage [Elec I—Mech Plum cuvdcutF CuvdFill
Project Address (Not mailing address) f7 Flood F_ Fire F_ Liq r-. Landslide F_N/A Floor Suite No
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New/AddSFF— RemodelSFF —' Garage/New/AddF—
Use F Const Type
# Stories7 # Units (if Res)F
Valuation $
Material/Labor
IB.
ENGINEER'S NAME Last First F Lic. No.F—
Engineer's Address Engineer's E-mail Address
City State Zip Telephone
CONTRACTOR'S NAME/COMPANY
Contractor's Address
City
SETBACKS REAR
SETBACKS LEFT
SETBACKS FRONT
SETBACKS RIGHT
PERMIT NO.
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $
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