HomeMy WebLinkAboutX2020-1833 - Permit Application (2)Wo heet for Combo Building & Solar Permit Application
F_ Comm'I F_ Residential X City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building Grading
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Project Address (Not mailing address) G Flood [—, Fire F_ Liq ; ndslide FWA Floor Suite No
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# Stories # Units (if R
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Valuation $
Material/Labor vU✓
New/Add SFr
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Remodel SF Gara a/New/Add -
OWNER'S NAME
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Owners Address
Owner's E-mail Address �O ' b
City
State Zip [777 TelephoneF��
APPLICANT'S NAME
Last G-:, First
Applicant's Address
Applicant's E-mail Address
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_ J State Zip_ Telephone
ARCHITECT/DESIGNER'S NAME Last First Lic. No,
Architect/Designer's Address
Architect/Designees E-mail Address
City
State r Zip---- Telephone
ENGINEER'S NAME
Last First FIML Lic No.
Engineer's Address
Engineers E-mail Address
City
J State [777 Zip I Telephonef - I
CONTRACTOR'S NAME/COMPANY Lic. No. [ ] Class;
Contractors Address
Contractor's E-mail Address
City - StatezipZip—Telephone--
SETBACKS REAR
SETBACKS FRONT PERMIT NO.�
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. �`�I LJl _26A5
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $
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