HomeMy WebLinkAboutX2022-1500 - Permit Applicationrthtetm Worksheet for Combo Building & Solar Permit Application ozEW�Re
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Comm'I r Residential City of Newport Beach - Building Division XZo22't
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[—Building F_Grading Drainage r-Elec r-Mech r"; Plum Cu Yd Cut Cu Yd Fill,
Project Address (Not mailing address) r Flood r Fire F7 Liq r Landslide F_N/A Floor Suite No
Cu %2460 ,
Description of Work `OvO.e 5(-)C1 L, se Const Type
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1 r / # Stories # Units (if Res)F
%�b �i !'4. C_f h�t �C�.Gq, d�e -_
- --- - --- Valuation $ T
New/Add SF�— Remodel SF� Garage/New/Add �' Material/Labor 75v7
OWNER'S NAME Last First t:R✓ p'crl _._
Owner's Address Owner's E-mail Address
2..�..- 1✓ with e /9
City f State Cpl Zip ` Telephone[—
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APPLICANT'S NAME Lastr First
Applicant's Address Applicant's E-mail Address
City State d . Zip Gl� /� Z _ Telephone 71q , ` rp
CONTRACTOR'S NAME/COMPANYLic.
No.
Class
Contractors Address
Contractor's E-mail Address
State �—
Zip
�— Telephoner
City
SETBACKS REAR SETBACKS FRONT PERMIT NO. gfzzz- - b5,00
SETBACKS LEFT SETBACKS RIGHT 1 PLAN CHECK N0. J'3 B7- DC,iz
USE ZONE DEVELOPMENT NO Om PLAN CHECK FEES $ s