HomeMy WebLinkAboutX2021-1880 - Permit ApplicationF_ Comml F- Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building [Grading Drainage r Elec r Mech Plum cu yd CutF Cu rd Fin
Project Address (Not mailing address) F Flood F_. Fire [7 Liq f— Landslide [N/A Floor Suite No
Description of Work
New/Add SFr Remodel SF� Garage/New/Add
NAME
Use Const Type F
# Stories # Units (if Res)
Valuation $
Material/Labor
Owner's Address Owner's E-mail Address
City State �— Zip Telephoned—
APPLICANT'S NAME Last first
Applicant's Address Applicant's E-mail Address
- - ...-. �— --
City State �— Zip_ Telephoned
CONTRACTOR'S NAME/COMPANY Lic. No.0�f Class
Contractor's Address Contractor's E-mail Address
City State I Zip F Telephone
SETBACKS REAR
SETBACKS LEFT
USE ZONE
SETBACKS FRONT
SETBACKS RIGHT
DEVELOPMENT NO
PERMIT NO.
PLAN CHECK NO. Li �,% N; i
PLAN CHECK FEES $