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HomeMy WebLinkAboutXR2023-2256 - Permit Application_ __ avns® nsoucca, ®va vv111uV LJUIIU 111 Uc e7VIQ8 rC111 E1L H 111.:�Y.IOf1 D Comm'I F- Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 7Building F7Grading F-Drainage F-Elec FMech F-PlumCuvdCutF CuvdFill Project Address (Not mailing address) [ Flood F- Fire F- Liq F- Landslide [N/A Floor Suite No I S755}t.azr�n k-'1 ply• _tSet,.� �#T'�eachCA_q2C-( 3, _.._.. Ss joy Description of Work Use Const Type Replace T-.iwa 0) GLnCA IviSt.�Q+t`©y� Py-o # Stories # Units (if Res)[— Valuation $ •�' New/Add SFF Garae/New/Add� Remodel SF �� g -7 Material/Labor (7Q® OWNER'S NAME Last xL bQ First law Owner's Address Owner's E-mail Address _2115.5'h cC_. h©h__ L • ._- _-___-. _ __ PV¢c 10er® LAdr •1:©rtA City NQ �J o t \ State �— p 9 p _� _._ _ - j3eCja �, - Zi Tele hone APPLICANT'S NAME LastF. WC4r(Gh First l Lt Applicant's Address Applicant's E-mail Address Ora•n5etjo0C, Ave'. -- �,S4rretn®S; n41 1e5f•�¢f rc3z eo - -� --- - - City GPr Grove State G� R Zip 92<3C4I.. Telephone 7ICi 731_��O�Z ARCHITECT/DESIGNER'S NAME Last First �— Lic. No. F— Architect/Designer's Address Architect/Designer's E-mail Address City State F_ Zip F_ Telephone ENGINEER'S NAME Last First F_ Lic. No. F_ Engineer's Address Engineer's E-mail Address City State �— Zip Telephone CONTRACTOR'S NAME/COMPANY Slqna 1 RI?SiorQtlor1 Lic. No. Fcffwi?5 Class Contractor's Address Contractor's E-mail Address '1221 �t�i5ewoac� ave • Twurreln®�isrial t-e5fvr9 ;e>7 coo City State Zip 12�y.�. Telephone 7zy �31-"7a13 Gqr,�;V, GrovC,� I SETBACKS REAR SETBACKS FRONT PERMIT NO. XRIOZ3 _ 2GS 6 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 1'CZOZJ� 1979 USE ZONE DEVELOPMENT NO PLAN CHECK FEES $