HomeMy WebLinkAboutXR2022-3339 - Permit Application+ r �".WorR!zthant 3r..G0rnbo,-8uilding-&_Solar Permit Applicla ion
r COMM 1 r Residential City of Newport Beach - Building Division F
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL u
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Project Address (Not mailing address) C- Flood j- Fire F_ Liq f- Landslide F_N/A Floor Suite No
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Description of Work
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New/Add SFs— Remodel SFs— Garage/New/Add Valuation $
Material/Labor
OWNER'S NAME
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Owner's E-mail Address
City
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ARCHITECT/DESIGNER'S NAME
Last First �—
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Architect/Designer's Address Architect/Designer's E-mail Address
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ENGINEER'S NAME Last
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Engineers Address Engineer's E-mail Address
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City State _..
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CONTRACTOR'S NAME/COMPANY
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Contractor's Address Contractor's E-mail Address
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LSETBACKS
REAR SETBACKS FRONT
LEFT SETBACKS RIGHT
DEVELOPMENT NO
PERMIT NO. �C�iZP�'LJ - j33�7
PLAN CHECK NO.
PLAN CHECK FEES $