Loading...
HomeMy WebLinkAboutX2018-3038 - Permit ApplicationF_ Comm'I r Residential (—Building r Grading Project Address (Not in City of Newport Beach -Building Division` NOTE: PLAN CHECK FEES DUIE AT TIME OF SUBMITTAL nage \ EleciVlech lum Cu Yd Cut- CuvdFill ling address) F Flood F_ Fire r Liq r Landslide F_N/A Floor Suite No AVS r - r---.-- on of Work Use SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. IS ZONE DEVELOPMENT NO PLAN CHECK FEES $ __ # Stories- # Units (if R ' �'�``------- Garage/New/Add I Valuation $ Material/Labor New/Add SFJ�It Remodel SF OWNER'S NAME 'Last . %7✓.. First ii 7..�"/ �r� � L4:r ®mr .. Owner's Address Owner's E-mail Address 'E97- 54®ph�LU �t1rJC Ar2�tr��6tz,,V� City State � .Zip 9 & ( Telephone- 40 3 APPLICANT'S NAME Last First Applicant's Address Applicant's E-mail Address City F State F Zip r— TelephoneF— ARCHITECT/DESIGNER'S NAME Lastp CY a First DAV ? t Lic. No. GY Architect/Designers Address Architect/Designer's E-mail Address A-70 Wft b Vfb 50E.S©N A-C€-� t I J A God City ifultif State I ®t Zip C IS Telephone f 45,70093 / ENGINEER'S NAME LastFK NA EF First MAI Lic. No. Engineer's Address Engineers E-mail Address 4J9 �C City l � q f l � State Zip F? Telephone 74 07 /,D,,r CONTRACTOR'S NAME/COMPANY Lic. No. F_ Class- Contractor's Address Contractor's E-mail Address City F State F_ Zip F—� Telephoned SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. IS ZONE DEVELOPMENT NO PLAN CHECK FEES $ __