HomeMy WebLinkAboutXR2023-2490 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application qCity of Newport Beach - Building Division =
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Project Address (Not mailing address) I- Flood
F_ Fire F- F_ Landslide F_N/A Floor Suite No
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Description of Work
Use F—ConstType F-
# Stories] `F # Units (if Res)F_
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Valuation $ 1 S Q D
Material/tabor I
New/Add SFF— Remodel SF�— Garage/New/Add �—
OWNER'S NAME Last
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APPLICANTS NAME Last SK(TI}
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Applicants Address
Applicants E-mail Address
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ARCHITECT/DESIGNER'S NAME Last
First F Lic, No.
Architect/Designer's Address
Architect/Designees E-mail Address
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Zip F_ Telephoned
ENGINEER'S NAME Last)( o
First [ I � Lic.
Engineer's Address
Engineer's E-mail Address
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CONTRACTOR'S NAME/COMPANY �[71 Js� lT4k GO "-T- Lic. No. Classy
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Contractor's Address
Contractor's E-mail Address
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SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
PERMIT NO. j zo?,3-24ga
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $