HomeMy WebLinkAboutX2022-0946 - Permit ApplicationComb® Building t'� Sotlav Permit Application �EWPOR
r Comm] Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME C;- SUBMITTRL C�IFOQNP
F—Building Grading f—Drainage r Elec F_ Mech F— Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) f- Flood r' Fire f— Liq [_ Landslide INN/A Floor Suite No
......... .. . - . ........ ____ F F_
Description of Work
IC,_CP_
Use Const Type F7
# StoriesF_ # Units (if Res)
-- - - --
- Valuation S
New/Add 5F (�� Remodel SF �� jam' Garage/New/Add I Material/Labor
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OWNER'S NAME Last First
Owner's Address
Owner's E-mail Address
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City State Zip Telephone 'j) 2 14U c1 4 Jrf
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APPLICANT'S NAME Last
( First C,0
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Applicant's Address Applicant's E-mail Address
City u,c ^V C. Lo�� State Zip Telephone
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ARCHITECT/DESIGNER'S NAME Last OV6
Y..��.. First C Lic. No. S�jZ7
Architect/Designer's Address Architect/Designer's E-mail Address
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City eU���h�F _..... State cta- Zip Telephone
CONTRACTOR'S NAME/COMPANY Lic. No �LoS 7' "
Class'
Contractor's Address Contractor's E-mail Address
CoZ_ t ...... ............
City _ / .......... _ � �� State Zip ( �` Z Telephone � (�
SETBACKS REAR
SETBACKS LEFT
SETBACKS FRONT
SETBACKS RIGHT
PERMIT NO. /Q4�7- Q " q
PLAN CHECK NO. �[ 1• ZOZZ.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $