HomeMy WebLinkAboutX2022-0225 - Permit ApplicationPrinteo6 m Worksheet for Combo Building & Solar Per it Al 1311ca Z5
rl Comm'I Residential City of Newport Beach - Building Division �"tY1 (G
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTA
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Description of Work
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OWNER'S NAME Last a' First
Owner's Address Owner's E-mail Address
uite No
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# StoriesF—, # Units (if Res)F7j
Valuation
Material/Labor
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APPLICANT'S NAME Last _fLi
Applicant's Address
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Applicant's E-mail Address
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ARCHITECT/DESIGNER'S NAME Last First
Lic. No. !
Architect/Designer's Address
City State
ENGINEER'S NAME Last
noineer's Address
Architect/Designees E-mail Address
Zip F—� Telephoned
First - Lic. No.
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Engineer's E-mail Address
City State rli Zip F Telephoned
CONTRACTOR'S NAME/COMPANY 'q� /� v Lic. No. A) � LJ � Class F
Contractor's Address
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Contractor's E-mail Address
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SETBACKS REAR
SETBACKS FRONT
PERMIT NO. 1 32 Z -
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SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. C)ZCj° ,
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USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $