HomeMy WebLinkAboutPV2022-0362 - Permit ApplicationI_ Print Form Worksheet for Combo Building & Solar Permit Application @-W�
F Comm'I Residential City of Newport Beach - Building Division r V/0�
j NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing address) C Flood F_ Fire r— Uq F_ Landslide CN/A Floor Suite No
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New/Add SF
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Valuation $
Remodel SF Garage/New/Add �— Material/Labor
OWNER'S NAME
Last First %-�
Owner's Address
Owner's E-mail Address
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City
-- — _.._
State //
- — -- -- Zip� Telephoner_
APPLICANT'S NAME
Last - First
Applicant's Address Applicant's E-mail Address
City
State— O
Zip Telephone
ARCHITECT/DESIGNER'S NAME Last First F777777 Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State �— Zip �— Telephone[
ENGINEER'S NAME
Last First Lic No.F
Engineer's Address
Engineer's E-mail Address
Cit
State Zip[-- Telephone��77—
CONTRACTOR'S NAME/COMPANY Lic. No. FM N\ Class
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City
Contractor's E-mail Address
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State Zip Telephone
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $