HomeMy WebLinkAboutX2022-0739 - Permit ApplicationPrint For Worksheet for Combo Building & Solar Permit Application r 257�1City of Newport Beach - Building Division
Comm'I [Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[Building [Grading
[Drainage [ Elec [ Mech [Plum cued cut Cu Yd Fill
Project Address (Not mailing address) [ Flood [ Fire [ Uq [ Landslide [N/A Floor Suite No
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Description of Work
Use F—ConstType F-
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# StoriesC # Units (if Res)
Valuation $
Material/Labor S b OD
New/Add SF�— Remodel SF �
Garage/New/Add C—
OWNER'S NAME
Last
first
Owner's Address
Owner's E-mail Address
City State I Zip F— Telephane�
APPLICANTS NAME
Last
First
Applicant's Address
Applicant's E-mail Address
City _
State
Zip TelephoneE
ARCHITECT/DESIGNER'S NAME Last _
First Lic. No.
Architect/Designees Address
Architect/Designers E-mail Address
City
State �—
Zip
[_. Telephone[__
ENGINEER'S NAME
Last
First I Lic. No.F—
Engineer's Address
Engineer's E-mail Address
City
_ State �
Zip C Telephoned
CONTRACTOR'S NAME/COMPANY
Lic. No. �— Class C
Contractors Address
Contractor's E-mail Address
City
State �—
Zip — Telephone[
SETBACKS REAR
SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE
DEVELOPMFNT NO
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