HomeMy WebLinkAboutX2020-1926 - Permit Application (2)F7 Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL v " " cPF,
[Building F, Grading F,Drainage [Flet r,Mech [Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) f Flood ,j- Fire r Liq rj Landslide FN/A Floor Suite No
Description of Work / UseConst Type
Bl G\k 0. # Stories # Units (if Res)[7
� ---- -- --_ .Valuation$
New/Add SF Remodel SF Gara a/New/Add
9 Material/Labor
OWNER'S NAME Last
First
Owner's Address Owner's E-mail Address
City State L Zip I Telephone;
APPLICANT'S NAME Last
Applicant's Address
City State
ARCHITECT/DESIGNS '
First -
Applicant's E-mail Address
Zip 1— Telephoner
R S NAME Last
------.-. _.—_ _ First L _ Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address s R
City -- - — - --- State Zip �— Telephoned
ENGINEER'S NAME Last
Engineers Address
City - - State �— Zip
CONTRACTOR'S NAME/COMPANY e Lic. No. �— Class
Contractor's Address o-^ actor's E-mail Address
City State �- Zip �— Telephone—
— d
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 1 f�
USE ZONE DEVELOPMENT NO PLAN CHECK FEES