HomeMy WebLinkAboutX2022-1816 - Permit Application1 _ Print Form Worksheet for Combo Building & Solar Permit Application
F" Comm'I F_ Residential City of Newport Beach - Building Division , �I
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
F—Building r— Grading f—Drainage f— Elec F_ Mech F— Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) F7 Flood r Fire r- Liq r' Landslide C-N/A Floor
F_
Suite No
Description of Work` C'(� ili1 ` L Use Const Type
#Stories #Units (if Res)
j� Valuation
New/Add SF Remodel SF Garage/New/Add I Material/Labor 7U)-
r
-
IOWNER'S NAME �c Last First
Owner's Address Owner's E-mail Address
ARCHITECT/DESIGNER'S NAME Last
Architect/Designer's Address
City State �—
CONTRACTOR'S NAME/COMPANY I j) /(��� � Lic. No. F_ Class
Contractor's Address ! v Contractor's E-mail Address
City State F Zip Telephone
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $