HomeMy WebLinkAboutX2020-0854 - Permit ApplicationC
ht Form Wor meet for COMO tsuilding & solar Permit Application ,��`�"R>
Lomm'I r Residential City of Newport Beach - Building Division ,1(90.20.0$'$4 �
NOTE: PLAN CHECK FEES DUE AT&MtPESUBMITTAL oa "
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Project Address (Not mailing address) r Floo3 Liq r, Landslide /A Suite No
9 a • armA3
Description of Work
Use (pnst Type R
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# Stories # Units (if Res)
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Valuations
New/Add SF��; Remodel SFrjCj Garage/New/Add Fv_
Material/Labor '
OWNER'S NAME Last -� ►J ( Lu,� First
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Owner's Address 0 is E-mail Address
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City State Zip F— Telephone[—
APPLICANT'S NAME Lastvvw First
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Applica is Address Applicant's E-mail Address
City State I\ Zi� Telephone
ARCHITECT/DESIGNER'S NAME LastFirst Lic. No '
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Architect/Designers Address ArchitecUDesigne E-mail Address
City I State F_Zip F_ Telephoner
ENGINEER'S NAME Last First F_ Lic. No. F_
Engineer's Address Engineer's E-mail Address
City � � State Zip �— Telephoner -
CONTRACTOR'S NAME/COMPANY I V Lic, No. F Class F
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Contractor's Address Contractor's E-mail Address
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City State F_ Zip �— Telephone qej .7717 — 14' I
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ETBACKS REAR SETBACKS FRONT PERMIT NO. X72 (2n
SETBACKS LEFT SETBACKS RIGHT q PLAN CHECK NO.
USE ZONE PLAN
DEVELOPMENT NOf CHECK FEES $