HomeMy WebLinkAboutX2020-2690 - Permit ApplicationPrint Form j Wor,eetior:Gorrrbo Building & Solar Permit Application SP
F Comm'I (Q1Residential x City of Newport Beach - Building Division
��vv NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
F'Building F- Grading Drainage r Elec F_ Mech r` Plum CuvdCut CurdFill
Project Address (Not mailing address) F_ Floed F— F' ekL)q r Landslide F_N/A Floor Suite No
Description of Work
Use Const Type I—
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# Stories7 # Units (if Res)7
i dry
Valuation $
New/Add SFF— Remodel SF ��i Garage/New/Add F
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Material/Labor (l COO
OWNER'S NAME Last
I� �V`l� First
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Owner's Address
Owner's E-mail Address
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City b-a S i
State T�J_ Zip Telephone tom_
APPLICANT'S NAME Last
1 �Vn First
5 Lkme,
Applicant's Address �t J�
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6l Applicant's E-mail Address
(City
State. F_ Zip F_ Telephoned
ARCHITECT/DESIGNER'S NAME
Last First F
Lic. No.
Architect/Designees Address
Architect/Designer's E-mail Address
City �
State F_ Zip Telephonel..---.----
ENGINEERS NAME Last
First Lic No.I
Engineer's Address
Engineer's E-mail Address
City
State Zip Telephone
CONTRACTOR'S NAME/COMPANY
Lic. No. F_—Class I
Contractor's Address
Contractor's E-mail Address
City
State F_ Zip r Telephonel� f ��
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SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT �—
SETBACKS RIGHT / PLAN CHECK NO.
USE ZONE ^ l
DEVELOPMENT NO PLAN CHECK