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HomeMy WebLinkAboutX2020-0580 - Permit ApplicationF Comm'I fX Residential City of Newport Beach -Building Divisionq1/ NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAI \c _s/ vv rBuilding F_ Grading )`"Drainage rElec F_Mech F7, Plum Cu yd cut Cu Yd Fill Project Address (Not mailing address) r Flood X Fire [7 Liq C; Landslide FN/A Floor Suite No aseo B o n i D� we DUew -o r+ Description of Work Use Const Type F S3 U= (W # Stories[ # Units(if Res)F— t a77�®$3 SealC<nok�_i�es�cipe �'o Ori�tnAl Valuation $ Material/LaborRLj� New/Add SFr—u �" �! Remodel SF ��' Garage/New/Add �- OWNER'S NAME Last �C n2 1 First Owner's Address Owner's E-mail Address 0.3 v'; "@ ry _ City _ lr State _ L�— Zip rJ L Telephone 'd. �.. `j 6' s _(-, APPLICANT'S NAME last q ai \i 4e_ First 1 :70 & Applicants Address Applicant's E-mail Address 9 i�� V7�y11��SOtS 5� dOjJC�'�RN�dL�tL��11d1 ,V_ City I To w Ck _.. State�'� Zip C Telephone ,3L ARCHITECT/DESIGNER'S NAME Last �— Firstr — Lic. No. F Architect/Designer's Address Architect/Designer's E-mail Address City State F_ Telephone-- ENGINEER'S NAME Last r First Lic. No.�` Engineer's Address Engineer's E-mail Address ' City State F—Zip Telephoned CONTRACTOR'S NAME/COMPANY FrF �(�thU p) ; Lic. No. B I Class i . Contractor's Address - - Contractor's E-mail Address I3 oA t ,T�� �t{1,° a Ck4ie;X. Po��� <� City W l� State { Zip �j3-bD� Telephonebj -"%4c} l5_)_l 00 r 215el2� Ib is SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO..�� , USE ZONE DEVELOPMENT NO PLAN CHECK FEES $