HomeMy WebLinkAboutX2022-1011 - Permit ApplicationI 1 � ..�.a6tX� :.mPi1.� cx�i iAt Rerrrwi appfrCatinri of e
F_ Comm'I F_ Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building F_ Grading
F-Drainage IVElec Tech lum cuvdCutF CuvdFill
Project Address (Not mailing address) F_ Flood r Fire [- Liq F_ Landslide FN/A Floor Suite No
7310 w • & wT-,4Wr 1
Description of Wory„k�
Use Const Type V
# Stories # Units (if Res)-
.y.,
(n New/Add SF
3Q ( Garage/New/Add F_
Remodel SF (,v
Valuation $
Material/Labor �I
OWNER'S NAME
Last _�1 First �� + /
+n ��nlT
Owner's Address
Owner's E-mail Address
City
State Zip TelephoneF
APPLICANT'S NAME
Last First
Applicant's Address
Applicant's E-mail Address
City State � Zip F— TelephoneF—
Last First Lic. No.
ARCHITECT/DESIGNER'S NAME � ?(3e8
Architect/Designees Address
Architect/Designer's E-mail Address
City
State Zip F Telephone q�
ENGINEER'S NAME
Last First Lic. No.F
Engineer's Address
Engineer's E-mail Address
City
State Zip Telephoned
CONTRACTOR'S NAME/COMPANY Vrvkc Lic. No. Class
I " I('
Contractor's Address
Contractor's E-mail Address
-7b RZ-
T� VAC s � e�L� , ,C OA, L_, C op/
City t�
State �j4— Zip I Z �o 4� Telephone � ( _4: D4_�_
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. D�j3?j ij02�
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $