HomeMy WebLinkAboutX2019-1117 - Permit ApplicationPrint Form N
r Comm'I `___. Residential
F_Building F_ Grading
Address (Not
for Combo Building & Solar Permit Application
City of Newport Beach - Building Division
Igo PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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F_ Flood F_ Fire r- Liq F_ Landslide
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of Work
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New/Add SFI—._---_.— Remodel
OWNER'S NAME Last I Pr_eSCOT"(
Floor Suite No
Use s ConstType F_
# Storied 2 # Units (if Res)I—
Gara Garage/New/Add I —Valuation
9 Material/Labor
First
Owner's Address Owner's E-mail Address
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Applicant's Address
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ARCHITECT/DESIGNER'S NAME Lasti5
Architect/Designer's Address
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Citye4i'1'L State
ENGINEER'S NAME ' Last I Sn {'yt,ck v)
Applicant's E-mail Address
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First Lic. No. F_
Architect/Designer's E-mail Address
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Zip I lM I Telephone )4)- 913" (off-S_
First I ikon Cod Lic. No. C': 19gg
Engineer's Address Engineer's E-mail Address
City WWW(L (?Gs r° _ State- � � Zip 676&2,I Telephone 714--'%J —6 S_r4
CONTRACTOR'S NAME/COMPANY Lic. No. F— Class F_
Contractor's Address Contractor's E-mail Address
City I State F— Zip r_ Telephone
SETBACKS REAR SETBACKS FRONT PERMIT NO. NCM
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK N4
USE ZONE DEVELOPMENT NO PLAN CHECK FEES 1