HomeMy WebLinkAboutX2021-1385 - Permit Applicationet for Combo f3u""'"" Building pl�Ision .
VVorkshe of Newport Beach T TIME OF SUBMITTAL
City CK FEES DUE A Cu vd FIII 7
rint Form _ PIAN CHE
NOTE: Plum cuvaCut Suite
ommL �- Residential CMech r (-NIA Floor
r Elec r Liq r Landslide
Drainage Fire
Building r__ Grading r_ r Flood F.
I ailing address)
Mot rn __---
ect Address l �. ConstType
pro! -- Use
--- I # Units Qf Res), -_ # Stories_
pescription of Work iL
t v v_ - Material/Labor)
elNew/Add
_
Re
- .
model SF Garag
New/Add S -
First _ --
Last -_.
Owner's E-
mail Address
_
OW NER'S NAME _
Owner's Address Tell
-- -
_---
-- -- State
_ _ -- AP First
- -
City
_- mail Address
Last _ _ -- plicant s E
APPLICANT'SNAME -
hone
- Telep
Applicants Address __ -_ _
--
-_ Zip _ _
State First _ -
--- -
Lic. No • ---
City _ — _ .. -- _ - E m
ME Last - Archit"Voesigners
III Address
ARCHITECTIDESIGNER'SNA _ - _- - Address hone
ArchitectlDesigner's A
Telep -
---
-- - zip __
-- State � Lic No.
City _-_.- First
Last " _ ----
- mail Address
ENGINEEWS NAME
Engineer's
- neer's -
hone
ngineets Address - Telep
Zip
State Class
_ - Lic. No.
'RACTOR'S NAM
EICOMPANY O Contractor's E-mail Address
tor's Address Telephone)
State ZIP
PERMIT NO -
NO
SETBACKS FRONT
EAR SETBACKS RIGHT
T
DEVELOPMENT No
PLANCHECK
PLAN CHECK FEES $