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HomeMy WebLinkAboutXC2022-2101 - Permit Application. PrmrForr t I . _ WVO.rkah et for.Comho Building & Sol ay.Permit"AppBecat ® I- Comm'I I Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL f Building r Grading F-Drainage e g (- Elec Address of Work New/Add SF F Remodel SF r/mod Garage/New/AddF� OWNER'S NAME Last V_ r P�t'STi_G A _ Owner's Address City hy� _ State C1 APPLICANT'S NAME Last Applicant's Address City State Gip ARCHITECT/DESIGNER'S NAME Last Architect/Designer's Address City ENGINEER'S NAME Last ['Meth [ Plum C. Yd cutr Cu Yd Fill Mailing address) C Flood [- Fire f._ _ [ Li q [Landslide �N/A Floor Suite No P> �.._.._.._ L _-..__...._-_-------------- Use F—Const Type # Stories17 # Units (if Res)F7 Valuation Material/Labor First' L`as Owner's E-mail Address Zip I :'? 2l_t First 7S — Applicant's E-mail Address lI Zip q Tele hone3S1 '2L�6 Z P First I .Lic. No. F - -�_ Architect/Designer's E-mail Address State - -- -- - - - Zip Telephonel— Engineer's Address City -_ State F First Lic. No.F- Engineer's E-mail Address --------- -- - zip[, Telephone�— CONTRACTOR'S NAMECOMPANY - Lic. No. - �— Class Contractor's Address c Contractor's E-mail Address City State [— Zip L Telephone - - ISETBACKS REAR SETBACKS FRONT I SETBACKS LEFT IUSEZONE SETBACKS RIGHT DEVELOPMENT NO PERMIT NO. XG %fit, Zk O 1 PLAN CHECK NO. fr- PLAN CHECK FEES $