HomeMy WebLinkAboutX2019-1770 - Permit ApplicationComm'l Residential City of Newport Beach - Building Division X"20
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
FX- Building Grading F Drainage Elec F_ Mech Plum Cu Yd Cut CLI Yd Fill
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Description of Work
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Valuation $
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N ew/Ad d S An el 1�� Garage/New/Add Material/Labor
Owner's Address
City
APPLILAN-US NAME Last Richart
Applicant's Address
1041 W. 18th St, (A106)
Owner's E-mail Address
State iCA Zip i Telephone'
First Jason
Applicant's E-mail Address
Jason@richartdesign.net
ARCHITECT/DESIGNER'S NAME Last iRichart First iJason Lic. No.
esigner'S D �,rchitect'A uu "ress ArchitecUDesignef's E-rnail Address
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(Jason@richartdesign.net
City Costa Mesa State CA Zip 92627 Telephone 949-422-9191
ENGINEER'S NAME Last First Lic. No,
Engineer's Address Enaineer's E-mail Address
So
Telephonel City 0 �x State zip'
CONTRACTOR'S NAME/COMPANY Lic. No. Class
Contractors Address Contractors E-mail Address
City State Zip Telephone
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USE ZONE k? DEVELOPMENT NO
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEES $