Loading...
HomeMy WebLinkAboutX2020-1999 - Permit Application (2)— V111sneet for Building Combo P F Comm'I l�Resident I ermitA City of Newport Beach - Application O4 �EWPo` NOTE: PLAN CHECK FEE DUE AT OF SUB q P Lilding I– GradinX2i1Z0 11 G ',,, .,;� Division rainage ( Elec ( Mech I�ITTAL Project Address (Not mailingI— Plum "'` address) cu va cut— cu va Fiu I �l33 Rew10 aV+em Y F_- Floor Suite No Description of Work Q/ ! wP� ` I'� CM (4 4/ +,!+, t�iew,ove �,, C_ovev o vok. 4S� s Use H_ze `� ✓�� k e -e y 5 a o�caor # Stories # Units (if Res) New/Add SF 5o®f Remodel SF� -- 0wV dC%:)W_T Garage/New/Add Valuation $ OWNER'S NAME Material/Labor c1 Soo Last L,evens O Owner's Address First S �P�✓¢ 1 43 3 Ne, . o� Owner's E-mail Address ti aty N{ i si'cve o � '�° or -f- �eac`. State - Pj`�9M'�he.✓s mss. Cows Zi APPLICANT 'S p NAME Ra�0 Telephone Last L 2v@e eson 9 -�33 mel 1 Applicant's Address First S'I'�� 1 433 New po �l Applicant's E-mail Address City �4 1 �vr , e„ e. c L, o (-, State �Ir------� �/ tis, �TI&'S NAME Zip tea' X046 Telephone- E'Nr.:Pts S 9 g Last Beer's Address First ��- 434/a0 ��� e Tl .ow Ss Lie. No. C436.oq P. Dv Architect/Designer'sE-mail Address / 1 City / 5� �%e ISO 1eYfrrx 8I31�-1!! Tem, eC- -, cam— State ov `q✓,ce 45 ev, Fii'iC c,9 Zip- E� NAME `ta5�'1 O Telephone et51 Last p l h 4 9 l 7 lA o s Addre� 4 ` �s First 31 Lic.No. 01 RO B ,a, iv Engineer's E-mail Address `.o oro Dv,✓� C ity Cosi �� ✓P�Ihgy...,sc� y1Fes `a State C✓Z, Zip— CONTRACTOR'S NAME/COMPANY a(oa� Telephone `I'49 Co44 ,g37D Contractor's Address Leve�oy� <O1 `rev- 134+i1�Ic,- Lic. No.— fVIr9. Classty�j9 11 t433 t4ew�rV �r- Contractor's E-mail Address ay Cit l4Cw v City .sl-�.0 csz L, ✓1' 6e4 Cowl FEE $ � State C E1�R /C Zip ' �O Telephone � FIRE P/C FEE $ DIG /C FEE $ _ PERMIT NO. LE /PLU /MECH P/C FEE PLANNING P/C FEE $ — PLAN CHECK NO. EV PMENT # -- PLAN CHECK FEE $ TOTAL FEES PAID $ I i