HomeMy WebLinkAboutX2022-1674 - Permit ApplicationP,;nt Form Worksheet for Combo Building & Solar Permit Application
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Residential City of Newport Beach - Building Division
NOTE PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
!y�BuiIding r-Grading (-•,Drainage F_Elec j-Mech F-Plum CuYdCut
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Project Address (Not mailing address) [_ Flood (—• Fire r Liq r Landslide [N/A Floor Suite No
1728 Bedford Lane round e
ara9
—
of Work
TUCK -UNDER GARAGES
Use &R2 i ConstType > 8
# Stories # Units (if Res)s
Valuation S
New/Add SF Remodel SF Garage/New/Add F 1 Material/La
OWNER'S NAME Last OCH. FRONT WATERFORD DOVI First
Owners Address Owner's E-mail Address
P645 LONG BEACH BLVD.
City FONG BEACH
tina@bfpminc.com
State A Zip 0807
APPLICANT'S NAME Last Farcia _ -. - -.. First _ elia
Applicant's Address
24702 Narbonne Ave.
-- y omits
State �A
at- I
Applicant's E-mail Address
elia@ggstructures. com
Zip F0717 Telephone 10-294 8111
ARCHITECT/DESIGNER'S NAME Last First
Lic. No. I--
Architect/Designer's Address IrArchitect/Designers E-mail Address
City State � Zip F TelephoneF
ENGINEER'S NAME Last arcia First Fionel - i Lic. No. 4653
Engineer's Address
4702 Narbonne Ave.
City omits State"'
Engineer's E-mail Address
ngineer@ggstructures.com
Zip 0717 Telephone 10 294 8111
CONTRACTOR'S NAME/COMPANY .g.p. Lic. No. F_ Class
Contractor's Address
City State �....
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
Contractors E-mail Address
Zip [_ Telephoner
PERMIT NO. A ZL-
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $
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