HomeMy WebLinkAboutX2007-1910 - Permit ApplicationPrint Form, ,
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Worksheet for Building Combo Permit Application
City of Newport Beach - Building Department
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r7 Grading r-,.Drainage F- Elec F-, Mech rPlum
(Not mailing address)
2. Descri, on of Work
9 (
Floor Suite No
# Units (if Residential)
Ca-L
Use
Exist House SF
Demo House SF4> Add/Reconstruct House SF
jl,'7T�
Exist Gar SF
F777
Demo Garage SF Add/Reconstruct Garage SF
F
/k,
# Stories
1`7 New Add
TOTAL HOUSE SIF
Demo 5
'6
Cu Yd F
Cut
F7
Alter
TOTAL GARAGE SF
F
Cu Fill Yd
F77
neck Appropriate Box for Applicant
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4. Architect/Designer's Name Last First Lic. No.
...... .. . .... .... ... WWV
Architect/Designer's Address Architect/Designer's E-mail Address
City State Zip Telephone
Lic. No. Jt?q Class[ 13
Contractor's Name Last First _�6_
FK/�j �oi) 1617 1 00
Contractor's Address Contractors E-mail Address
ItV,6oF I POP -MA
City I.0State Zip Telephon, im- Z;k
ENERGY P/C FEE $
GRADING P/C FEE $
vasEI P:G/AAF:r.W/Q1 I LA -MLA
V111UT- e-
C106vi
PERMIT NO. U
VV
PLAN CHECK NO.
PLAN CHECK FEE $