HomeMy WebLinkAboutX2021-1533 - Permit ApplicationOfIz-f ��
Print Form_ /, Worksheet for Combo Building & Solar Permit Application
F Comm'I (s7 Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
uilding f- Grading F-Drainage jW Elec F_ Mech
r Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing
address) [_ Flood f - Fire [_ Liq j` Landslide rN/A Floor Suite No
250 2 CLIFF DR.
F
Description of Work
S Use ConstType FW
REr+01,16 EXISTINX 9ALC.Otl j QCVJ FL.00K
CoV15REP ?4710
#Stories #Units (if Res)
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Valuation $
New/Add SF Remodel SF �—
�� $� Garage/New/Add Material/Lab
OWNER'S NAME Last I \4C)gTh1WG OON
First NtCk
Owner's Address
Owner's E-mail Address
NICK W0PThIVJGT0N
NICKWORT N55-TM 2�3C cr7H�L.0011
City NEU oR->- 96r3GF{
State I `-*t
Zip 9z�3 Telephone 30-S19-9152
APPLICANT'S NAME Last
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First KYL-E
Applicant's Address
Applicant's E-mail Address
35 A>�@OIVHUT
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city �L%S O V I ETL)
State
Zip g 26s% Telephone goy -g 15-$1 3 l
ARCHITECT/DESIGNER'S NAME
Last
First F Lic. No. C �632
Architect/Designer's Address
Architect/Designer's E-mail Address
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City I—
State F_
Zip F_ Telephoned
ENGINEER'S NAME Last
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First F_ Lic. No. n
t�
Engineer's Address
Engineer's E-mail Address
City
� State ��
Zip � TelephoneF_
CONTRACTOR'S NAME/COMPANY
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(-'-}- Lic.N %ij-?L ClassFa
Contractor's Address
Contractor's E-mail Address
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City d !!l�LLL(A
State
Zip q �--�5 Telephone-41c.1- Ll
SETBACKS REAR
SETBACKS FRONT
PERMIT NO. AZOI bl -
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. 4-�`TG(_ ZU 'L_ 1
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $ �I f � / . O 7