HomeMy WebLinkAboutX2020-1507 - Permit ApplicationCity of Newport Beach -Building Division
a
f'3\Comm'I j Residential
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMIT
VBuilding Grading
f—Drainaga j-Elec _ e c h (Plum cuvdCut cuvdFill
Project Address (Not mailing address) f Flood r Fire (— Liq f— Landslide I_N/A Floor Suite No
la_U__ I`twRb
__ 16 Gh. 9266 _ F_ F
Description of Work
6vv"✓l J
Use �� Const Type 0�, -
T 1n.I A 1 l atJ
r7� (Z) LU STi2c�0Yh� ANS A SPv�P( t
# Stories #Units (if Res)
® CQUgS Go
`=t'l +J _ --- T ►2yt l �pj2 N'�f�_rNl r(it��PtitCyJ
Valuation $
Material/Labor I �
New/Add SF�—
/
Remodel SF � �V' Garag?New/Add F_
OWNER'S NAME Last TIC k�1J First V�
Owner's Address
Owner's E-mail Address
KLli YV(01F 17KC ve STtEISOG LPviLLt . hJlclCc 14EN P *OST R07 -61-S. 4OK—
City %ij�k7kE517A
State Zip Zop� (7 Telephone
APPLICANT'S NAME
Last wkcl-,' 'Tr First 1�.
Applicant's Address
Applicant's E-mail Address
Zro3a S'eyUPjEvA
_
Lvv �3Jw �v FEa�sron+T
City 1�>Pgrf
State rGp®®� Zlp ['14 S05 Telephone lIO iSD gi2_3
ARCHITECT/DESIGNER'S NAME Last 'r�( First SS
te(EYte R.V E1- Lic. No.
Architect/Designees Address
A�rjchitecttDesignees�{E-mail Address
_Y2
1Z �4KSLT �6fc7uS `p�i`[ri�lL..c„w�
City FTo" i ZZe
State Gf� Zip , c, Telephone {p `70S jpSp
ENGINEER'S NAME
Last First ��! Lic. No. F_
Engineer's Address
Engineer's E-mail Address
city
State F_Zip �— TelephoneF
Lic. No. F7, Class
CONTRACTOR'S NAME/COMPANY 17S
Contractor's Address
Contractor's E-mail Address
City I--
State r Zip �— Telephoner
SETBACKS REAR
SETBACKS FRONT PERMIT NO. l od o
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. J -SCJ
USE ZONE
DEVELOPMENT NO 0 20 LCi ®t�Z� PLAN CHECK FEES $ii