Loading...
HomeMy WebLinkAboutX2020-2963 - Permit ApplicationPrint Form ks t for Combo Bui dinxw [; Comm'I [ i Residential g & Solar Permit A City of Newport Beach -Building Division Application NOTE: PLAN CHECK FEES DU [Building Grading Drainage Elec AT TIME OF SUBMITTAL Project Address ( Mech 4 ; Plum (Not Mailingcu vd cur address) (J Flood I-_ C° Yd Fill 32 o [fire E Liq Landslide r7- 1' v , t ct Floor Description of Work` Q11wr ��i� f Use '.L� k l �, Y� Const Type # Stories, # Units (if Res, New/Add SF�--- -- - Remodel SF _ - ----J 1 Garage/New/Add Valuation $ OWNER'S NAME Material/Labor Last i Owner's Address- -� r I , first C , 2&0 j� ... Owner's E-mail Address ` City 1 State -- —_ APPLICANT'S NAME J - Zip Z_ _- 6 .�_ Telephone ? � (� -----_ Last .32 3 i r� Applicant's Address __ First APPlicant`s E-mail Address City --- --- State _ _ — ` ARCHITECT/pZip ESIGNER'S NAME Telephone ` Last Architect/Designer's Address - First -- �__ Lic. No. -- __- Architect/Designer's E-mail Address -_ City - -- State -- _ _ zip —' Telephone "----- -- ENGINEER'S NAME - Last Engineer's Address . _ first Jam. f Lic. No. Engineer's E-mail Address g CityR. State ---_-�b��-}y , --- - C Zip �1� T �i"©fie>'h:s Ur7 in�e,� L�r CONTRACTOR'S NAME/COMPANY Telephone Contractor's Address �--{--------_____ Lic: No. ----- —_i_ Class Contractor's E-mail Address City h- ; Zip - Telephone -` SETBACKS REAR m SETBACKS FRONT f SETBACKS LEFT USEZONE SETBACKS RIGHT RM -Cr`"� DEVELOPMENT N PLAN CHECK N