HomeMy WebLinkAboutX2018-1153 - Permit Applicationvoli 41611
Worksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division
Comm'I Residential NnTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building Grading ;Drainage Elec r Mech ( Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) Flood? Fire F_ Liq �� Landslide ! N/A Floor Suite No
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Description of Work - Use Const Type -�-
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#Stories; #Units (if Res),;
— valuation $
New/Add SF, Remodel SF' Garage/New/Add Material/Laborl
OWNER'S NAME Last ilFirst
Owner's Address Owner's E-mail Address
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' State ' Zip ;j Telephone;
City , �4" I '�
APPLICANT'S NAME Last; Y First
Applicant's Address Applicant's E-mail Address
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City State Zip ; Telephone,
ARCHITECT/DESIGNER'S NAME LastFirst Lic. No.
Architect/Designees Address Architect/Designer's E-mail Address
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City
State i Zip Telephone
®_ o� Lic. No.r—
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ENGINEER'S NAME Last ; First
Engineer's Address _ c Engineer's E-mail Address
City State Zip Telephone
CONTRACTOR'S NAME/COMPANY Lic No. Classy
Contractor's Address Contractor's E-mail Address
City State Zip Telephone
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
J USE ZONE DEVELOPMENT NO HLAN UHtzur\ FEES