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HomeMy WebLinkAboutX2021-1048 - Permit ApplicationnorZcLIWNi_vvrrrvvuuuaaui uc.wrar rcr1ruLri uLC1L1Uil uF� JX Comm'I FX_ Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Fx-Building FX_ Grading [X`Drainage [X Elec fX_, Mech Fx— Plum Cu Yd Cut r Cu Yd Fill Project Address (Not mailing address) Cx Flood FX_ Fire Fire Fl Liq fX— Landslide �N/A Floor Suite No __14x)\. A ° �Ri1�� `��� I ,1 l F_ .p Description of Work Use ConstType� # StoriesF_ # Units (if Res)- � — "� reM#� AA 1� Abe �{ p�b r�� I . j'C'Y�E1"tr I....P-45 `+Ikf,( t�RC ! _ /f ih ', l xm pA;C ' _sq -vi- or _CAJ77) —1 J(' New/Add SFF— Remodel SF Garage/New/Add ca Valuation $ Material/Labor OWNER'S NAME Last ;15 l _ tei't/ i First Owner's Address Owner's E-mail Address _(ia©( MDL,—Vdd.AP LJN / �� ( City \ State �C� Zip q?4 Zs- Telephone ch r1 APPLICANT'S NAME Last /V 6c� First 'r)�O-, i,t C` Applicant's Address Applicant's E-mail Address City �y rm_. %�, ��j State �- Zip q� 7 3 Telephone Z/033(- / ARCHITE✓CT/9i616NER`5N*Mr4 r First Lic. No. Architect/Desi 9 ner'sAddress e rchite ct/Designer's E-mail Address �}11 ><' ` S' City State Zip 4-Z I (rTelephoneF_-._ ENGINEER'S NAME Last First Lic. No. --- Engineer's Address Engineer's E-mail Address City State Zip F_ Telephone CONTRACTOR'S NAME/COMPANY Lic. No. jpi�2�\' Class ' '� Contractors Address Contractor's E-mail Address __1''-^1 C7 £%""rJ ii Ya "T4,Lqq b�.y9, ... C�j�\ri �y4 P� �F.-�J- •cuµ^ City I C,% tt State C.�1 Zip q)-jk0 Telephone zW4'7 5-1 z1 —C_cq`11 SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO, , USE ZONE DEVELOPMENT NO PLAN CHECK FEES $