HomeMy WebLinkAboutX2022-1342 - Permit Application (2)prinf.rrn Worksheet for Combo Building & Solar Permit Application
F-, Comm'I Residential City of Newport Beach - Building Division 2022- �2
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMI AL
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Project
/Address (Not mailing
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# Stories, # Units (if Res
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OWNER'S NAME Last
SC)LC.C> CO First
Owner's Address
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city v State
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APPLICANT'S NAME Last ��— Firstl/�---
Applicant's Address
Applicant's E-mail Address
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City L State — Zipy.... Telephone
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ARCHITECT/DESIGNER'S NAME Last N VV . / First r99�
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ArchitecUDesigner's Address Architect/Designer's E-mail Address
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ENGINEER'S NAME Last
First j� ...-.. Lic. No.
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Engineer's Address Engineer's E-mail Address
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SETBACKS REAR SETBACKS FRONT PERMIT NO. )go 7, S- Lf Z
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 'Z.CUZ rZb
USE ZONE DEVELOPMENT NO �j�o� f'03 52 PLAN CHECK FEES $