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HomeMy WebLinkAboutX2021-2571 - Permit ApplicationComm'I Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL F�7Building F- Grading F-Drainage f- Elec r Mech r- plum //\\ Cu YdCut� Cu YdFilll Project Address (Not mailing address) I Flood r" Fire j_ Liq F Landslide F N/A� Floor Suite No Description of Work1 Use F— Const Type ✓ `rA22a A,O n f-0 n ,L>) k� (''f'-�4 }-E— ti ri: t tri w-i Y # Storiesr # Units (if Res)r— A Ef �c�M Urli}J L_IlR,tr LHF E =P 4 uk "'01(Ai au,5 Y Remodel SF Valuation $ New/Add SFr— �y Garage/New/AddF Material/LaborL%Ot0uo FF�Wfa_< Last r — �`Li First�ltfE=�.c,( Owner's E-mail Address C:5I �ei, � vn0 Tele t ne r� if° State ' LI N�-. ZiP � Zr �(z� - Telephone ( c �( �' a`i`1-_ld>I > F fast ��'�� First Applicant's E-mail Address ,� 040 st � 0i) .+lJ e'ZSL i"L'GiGIF o j441 p...tafl� i'. State G w' Zip Q 7L(,,`I Telephone it�':f- i(a=i 5- ' ' j �- ARC /DESIGNER'S NAMELast First �r • n Lic. No. (— — Architect/Designer's.Address Architect/Designers E-mail Address , ,1U,1� �rrtT=�z `spud, C,.CdM Cityi'{.M%.IlIA; State UJB. ZiP TZ 8al. Telephone ENGINEER'S NAME Last / }iJ First cue #' J Lic: No. LT T i .Engineer's Address Engineer's E-mail Address City � = ��d2C ase �c�e✓t4� ytie,�z��� � c� i� State F— Zip Telephone I +qt„v•�-�(� CONTRACTOR'S NAME/COMPANY Lic. No. �� �� Class Contractor's Address' Contractor's E-mail Address City r...__-- State .—. Zip ._—_._ Telephoner__.-.___ SETBACKS REAR SETBACKS FRONT PERMIT NO. X Zo.Z I , 15 7 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO, USE ZONE DEVELOPMENT NO PLAN CHECK FEES'$