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HomeMy WebLinkAboutX2015-0113 - Permit Application/ /p�h Comm'I Residential ��ji) City of Newport Beach -Building Divisior� MCJ, _ V, NOTE: PLAN CHECK FEES D AT TIME OF SUBMITTAL / ry Building r Grading {/�ne c '�ch �PlU�YdCut 7- 4j�i Project Addres .((Vot mailing a dress 'Olood Fire LI r- v' / q Landslide rN/A Floor Suite No �` , ,aid � fP/&A;�'-'k' �"• J?�'s9�de�) �::;.�.1 . Descri tion of Work �— - a � ,, i �i r. M . X% 1✓�a s3 %� /2aCa t1�D 4 7' v �� y , ; . User� �-� UPEonst Type /�,-tc; Sfori T� #"Units afRes)[T New/Add SFLt4r Remodel SFF — Garage/New/Add Valuation $ Material/Labsr - ✓mot �`�`� OWN€WSNAMF Lastj First CV-1)fe✓`�?0 / �D O`wrier"s Address Owner's E-mail Address 7n ={ 3 �!Y1'Fe .�t``,:ua E 8�" s61.✓ tr x ",r` city Gr .t-1'c.->r.;<;,0a state e- � - �, ZIP L;�.µ..;C%e' f' Telepfidrie �l r� -TIT APPLICANT'S NAME Last I ;yam'' Applicant's Address City �sJ A ' fI/�'Ef F y State ARCNFFECT/DESFGNEIws NAME Last Address City State f, First ] z-10E-f Applicant's E-mail Address Zip r97Z / e l TelephoneFT�' g�") n 1 f- First Lic. No. G oDi,34 Archifect(Designer's E-mail Address ZIP �— TelephpneF� ENGINEER'S NAME - Last ,, a— F� First Awl E, , Lic. No. Engineer's Address Engineer's E-mail Address City Al" State Zip f / 1 Telephone 57-3T i/r) v 2O CONTRACTOR'S NAME/COMPANY Lic. No. Contractor's Address Cf)ST� EvC� Contractor's E-mail Address .. '� ✓uh.✓Co7 t?iQ/yieloN v7uJ, covv� City S;p,✓ ,O„yi�� State Zip Telephone 7i,� 8v/ env0, SETBACKS" REAR s r SETBACKS FRONT SETBACKS LEFT SETBACKS RIQHT i tec �nnic n PERMIT NO PON QHEQK NQ, ' 50 72- p( r" Jull