HomeMy WebLinkAboutX2020-0284 - Permit Application (2)XS0U_ n2194
for Combo Building & Solar Permit ApplicationC6q-7_.;,,t
City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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/ct Address
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/Description of Work
New/Add SF
OWNER'S NAME
Owner's Address
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Flood E Fire
CU Yd Cutl I Cu Yd Fill
Liq I-] Landslide i]N/A Floor Suite No
Use I Const Type I
# Stories❑ # Units (if Res)❑
Valuation
Remodel SFII Garage/New/Add 11 Material/La
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Last r
First
SIOJer's- ail Address
State ZIP
U/I
Teleohone
APPLICANT'S NAME Last I W4 First
Address
a Applicant's E-mail Address
ARCHITECT/DESIGNER'S NAME Last --I
First Lic. No. 11
ArchAddress Architect/Designer's E-mail Address
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ENGINEER'SNAME Last First
Engineer's Address Engineer's E-mail Address
City I State Zip Telephoner—
CONTRACTOR'S NAME/COMPANY I -M Lic. No.
Contractor's E-mail Address
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State�I Zip Telephone l 1�
SETBACKS FRONT
PERMIT NO.
SETBACKS RIGHT PLAN CHECK NO.
DEVELOPMENT NO �) . " �( pLaN CHECK FEES $