HomeMy WebLinkAboutX2022-0046 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
F- commll Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
71
Building F_ Grading F_.Drainage F_ Elec F_ Mech Plum Cu Yd Cut Cu Yd Fill
F
Project Address (Not mailing addKess) F_ Flood Fire r— Liq r Landslide F_N/A Floor i
Description of Work
Use F Const Type F.
ff Stories[F-7 # Units (if Res,
L
L . )
t
Valuation $
New/Add SFJ Remodel SF 1.9... Garage/New/Add
Material/Labor
OWNER'S NAME Last First
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 Zip Telephone
ARCHITECT/DESIGNER'S NAME Last First Lic. No. F_
Architect/Designer's Address Architect/Designer's E-mail Address
City State Zip Telephone
ENGINEERS NAME Last First Lic. No.
Engineer's Address Engineer's E-mail Address
rr 11 1 rr I ........ 11 1 1 "I'll - 1 11119 " Ir - ""Ir" , _9 .. . .. . ............ ...... . . F_
City State Zip Telephone
�'J V CONTRACTORS NAME/COMPANY Lic. No. Class
F 7-
Contractor's Address Contractor's E-mail Address
City State Zip Telephone
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SETBACKS REAR SETBACKS FRONT PERMIT NO. � 1422- QV*
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 0051a
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $