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HomeMy WebLinkAboutX2019-1159 - Permit ApplicationComm1 r Residential City of Newport Beach -Building Division x,L U j— 0�,1�v NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL a .BuildingGrading C Drainage/ I—ch lum cuvdcut� cuvdFill � Project Address (Not mailing address /// Food Liq (— Landslide CN/A Floor Suite No Description of Work Us 01 t ype C41 rt 'e— Prj,�1 Gomo l>e,64+ �6-- �> #Stories #Units:(ifRes)F C+ I.✓(/�Ll-S �[�.W'e �c�LL %l.rJ �`GS�I-(ZQt)tMr New/AddSF�� Remodel SF�Garage/New/Add— Valuatio 0 Material/Laor j'C•C' OWNER'S NAME Lash F_IaC First rA Owner's Address " � Owner's E-mail Address 06 t. C_.0ft" nr jj - City I D A-Af State FCAZip%Telephone 2First �oA APPLICANT'S NAME Last LZZ 04r---i Applicant's Address Applicant's E-mail Address /c -r 31 Le' - �1I � /�>� rra,. /+� �� AFf&z2 to�uu�H�wc S. c�L. CityO hj6—L State ip S Z 4t,4/ Telephone[ ARCHITECT/DESIGNER'S NAME Last First Lia No. Architect/Designer's Address Architect/Designer's E-mail Address City State Zip [ Telephoned ENGINEER'S NAME Last F First 7'_ Lic. No.r_- Engineer's Address Engineer's E-mailAddress City rV � State �� Zip �� Telephoned CONTRACTOR'S NAME/COMPANY g�wt -Cr�K giK.ZT1uA.) Lia No,FAA ?� Class i3 Contractor's Address Contractor's E-mail Address L(� 5 tti c tfn��l,u 3� jq t: 7aS City State Zip 9 Z fgG Telephone -7F SETBACKS REAR SETBACKS FRONT PERMIT NO. ._ �✓g SETBACKS LEFT SETBACKS RIGHT// PLAN CHECK NO. 0 M- 0-0 USE ZONE DEVELOPMENT NO % �y PLAN CHECK FEES $