Loading...
HomeMy WebLinkAboutXC2023-0027 - Permit ApplicationPrint Forni worli(sneet Tor combo muilialing sollar vermit Appillcation City of Newport Beach - Building Division IxComm'[ r— Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Pullding r— Grading F-Drainage F_ Elec F_ Mech F_ Plum Cu Yd CuT Cu Yd Fill F Project Address (Not mailing address) F_ Flood F_ Fire r- Liq F_ Landslide r_N/A Floor Suite No e% I / 1953A e�5 Description of Work Use F_ ConstType r Stories7 #Units(ifR t_A('7�)O�L 1) ,�7 Valua ion $ Matelr!lial/Labo r New/Add SFF/%7/7A Remodel SF/3Z_B:j� Garage/New,/Add,FX7,L\, OWNER'S NAME Lastj IL-It"'2) First L ZO Owners Address Owners E-mail Address city State F/V6 Zip [-Z Telephonel ­5�*$57�0 APPLICANT'S NAME Last Firstl Applicants Address Applicants E-mail Address F:T8—tO OeEi)v city As State Zip Telephonel FO 2, 41ZO 4,-�-;ZZ FZZ A9 ARCHITECT/DESIGNER'S NAME Last First Lic. No. F_ Architect/Designer's Address Architect/Designees E-mail Address Aj city V;li toics� State Zip Telephone���1&0,)c ENGINEER'S NAME Last F First Lic. No.F- Engineers Address Engineers E-mail Address city State Zip F_ Telephone F Lic. No.F CONTRACTOR'S NAMEXOMPANY I p Class Contractors Address Contractors E-mail Address ag�;�k- -WA-1461H�oy V e [91 - - - - /�_ city State /V Zip Telephone7c� 2- 7,�>6 2-9'q 2, SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. tV2,�) 90-131 USEZONE DEVELOPMENT NO PLAN CHECK FEES $