HomeMy WebLinkAboutX2020-2246 - Permit Application_ _.____.__--__..®-.��..-...... ......uwu.pu, ua vvowe r.CIIIIIL F91,JI/llts141C➢rl FY
r Comm'I j— Residential �'' City of Newport Beach -Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[-,Building F7 Grading F -Drainage F-;Elec rMech (-Plum Cuvdcutl Cu Yd Fill
Project Address (Not mailing address) E Flood E Fire j Liq [-; Landslide ELN/A Floor Suite No
Description of Work
%r i s Use ConstType
ios� i r e -70� � '�
I, ell# Stories # Units (if Res),
i a7/ k� a t
New/Add SF '6 Remodel SF 3� Garage/New/Add �— valuation 4
Material/Labor m
OWNER'S NAME Last
First
Owner's Address --------
Owner's
- - Owner's E-mail Address
City — -- - -- J State - -- - ZIP F TeleDhonel
APPLICANT'S NAME Last
" C
First 1 1-�7) //,
Applicant's Address Applicant's E-mail Address
LI i V 4
6u. p lel ll s% 6V Y Y 1 y. P'=J'1�• ✓ 5
city State #' ' Zip[, --Ii Tele hone
ARCHITECT/DESIGNER'S NAME Last
First— Lic. No
Architect/Designer's Address Architect/Designer's E-mail Address
- --- -
city State Zip [ - — Telephone[7777—
ENGINEER'S NAME Last r First
-- - Lic. No.F—
Engineer's Address
City �— State
Engineer's E-mail Address
--
ZIP �- Telephoner
CONTRACTOR'S NAME/COMPANY l ✓ p , �l rA :__,S ✓49 % Lic. No. ! Class
Contractor's Address Contractor's E-mail Address
City State 7777
Zip Telephone
F77777__..
SETBACKS REAR_ SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
,DEVELOPMENT NO PLAN CHECK FEES $
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