HomeMy WebLinkAboutPC2022-3249 - Permit ApplicationPrint Form_ _ Worksheet for Combo Building & Solar Permit Application / q>
City of Newport Beach - Building Division �I`
Comm] Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL f Y,1���i.�."
Fa Building F_ Grading
f==Drainage F_ Elec I— Mech F` Plum Cu rd cute Cu Yd Fill e
Project Addresss (Not mailing address) F Flood F- Fire F_ Liq F_ Landslide rN/A Floor Suite No
Description of Work
Use e ConstType e
# Stories[— # Units (if Res)e
. /
Valuation $
Material/Labor
New/AddSFF
Remodel SFF Garage/New/Add --
OWNER'S NAME
Last First
Owner's Address
Owner's E-mail Address
City I
State �— Zip F _ Telephone ---.--
APPLICANT'S NAME
Last First
Applicant's Address
Applicant's E-mail Address
City
State F Zip e— Telephone[--
ARCHITECT/DESIGNER'S NAME
Last First—Lic. No. F--
Architect/Designer's Address
Architect/Designer's E-mail Address
City State I— Zip �— Telephoned—
ENGINEER'S NAME
Last F—First Lic. No.F—
Engineer's Address
Engineer's E-mail Address
City F—
State e� Zip e— Telephone
CONTRACTOR'S NAME/COMPANY
F Lic oClasse
Contractor's Address
Contractor's E-mail Address
City
State— Zip e*hne
SETBACKS REAR
SETBACKS FRONT PERMIT
SETBACKS LEFT
SETBACKS RIGHT PLAN CHEC : 0.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $
U