HomeMy WebLinkAboutX2018-1301 - Permit Application-, MIS • W
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Worksheet for Combo Building & Solar Permit Application o� a
Residential City of Newport Beach _Building Division
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NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
j Building Grading F�Drainage ; Elec Mech i Plum Cu vd cut1 Cu Yd Fill
Flood j Fire Liq p` Landslide ! N/A Floor Suite No
Proiect Address (Not mailing address)
Description of Work _ Use ! Const Type
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#Stories': #Units (if Res);
Valuation a Doc)
New/Add SF Remodel SF Garage/New/Add Material/Labors
OWNER'S NAME Last i First j
Owner's Address Owner's E-mail Address
City State { Zip ! Telephone
APPLICANT'S NAME: Last First
Applicant's Address Applicant's E-mail Address
City State i Zip' Telephone]
ARCHITECT/DESIGNER'S NAME Last First Lic. No.
Architect/Designer's Address—m Arch itect/Designer's E-mail Address
State Zip
Telephonei
City
ENGINEER'S NAME Last First Lic. No.'
Engineer's Address Engineer's E-mail Address
City ; State Zip Telephone
CONTRACTOR'S NAME/COMPANY Lic. No. Class
Contractor's Address Contractor's E-mail Address =_v�
city State i
Zip
Telephone, --
SETBACKS REAR SETBACKS FRONT PERMIT NO. ` V
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO YLAIV uHtL K FEES