Loading...
HomeMy WebLinkAboutX2021-2427 - Permit ApplicationPrint Form �f�9o�°G�G�f foU�y�Cc�®'uu9©Ju��� Soit�° tiJ Irm��,Z�`7i� City of Newport Beach -Building Division CommI Residential NOTE: PLAN X esidtial AN CHECK FEES DUE AT TIME OF SUBMITTAL r" (W — _ Elec (— Mech r Plum CuYdcutCu Yd Fill F Building (J Grading -Drainage Flood J— Fire � Liq � Landslide , N/A Floor Suite No Project Address (M t mailing address) I� (' �2�-+z, �2 v L �-' Use Const Type Description of Work G� # Stories #Units (if Res)�j y5 _ ..__.._.._. Valuation $ Remodel SF Garage/New/Add Material/Lab i __... New/Add Sf ---- _-- First OWNER'S NAME Last � CM l_�1 ✓ ___ _ ✓ Owner's E-mail Address Owner's Address r ! %I Zip Citv State 2�U. �.... Telephon/(� _ %C3.1 S.:D First Z_ 0 U l 1 APPLICANT'S NAME Last Applicant's E-mail Address ` -- Applicant's Address l o C) Telephon - ( State C� -. Zip �� 7is _.� _ City 5 /� _ __-_ ® �x �j1 ,1 � 1 _Tv Lic. No. ARCHITECT/DESIGNER'S NAME Last C kT s 1 C�LQ_ First Architect/Designer's E-mail Address Architect/Designer's Address Telephone City /-0/, ��r���, State Zip ���� 3 P 5� Lic. No. C_' ENGINEER'S NAME Lastf - /7��. % First OS Engineer's E-mail Address Engineer's Address cOA �2-0 7 ['' 576z) State 23�f -7 82 p Telephon City ��Lsl> � 5�- Zip Ca! 3 Lic. No. 3670 GSClass� CONTRACTOR'S NAME/COMPANY - - C�µfr � c �'<rs-F'f ��i,�,✓�/��15-Lss � � �.1C Contractor's E-mail Address - Contractor's Address - -- State F ( T� ( ) 2 ,j._ %S® �� Zip <b�%S�elephon / / J 3 City Fr iN 11; l I SETBACKS REAR SETBACKS FRONT SETBACKS LEFT SETBACKS RIGHT SE ZONE DEVELOPMENT NO PERMIT NO. 1 �L ` 7 LJ `" -7 2,0 PLAN CHECK NO. �%� 7 7� PLAN CHECK FEES $ --