HomeMy WebLinkAboutPV2021-225 - Permit ApplicationNnnt corm worl(Sneei Tor uomoo builaing & Solar Permit Ap lication //?Rm
7- Comm'I I- Residential City of Newport Beach - Building Division PN
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NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL \\�.<,�...���
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Building F_Grading f—Drainage f—Elec 'Mach F—Plum Cu Yd Cut Cu Yd Fill 17
Project Address (Not mailing address) C Flood F_ Fire F_Liq - Landslide F_N/A Floor Suite No
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Description of Work Use Const Type
# Stories #Units (if Res)'
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Valuation $ DOD
New/Add SFF7 i Remodel SF Garage/New/Add �— Material/Labor
OWNER'S NAME
Last � First j�Yt�lAt�
Owner's Address Owner's E-mail Address
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City State �— Zip L 1 �� Telephone
APPLICANT'S NAME Last F�Lex�v �t First
Applicant's Address Applicant's E-mail Address
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City Y .�_ State CA-_.__ Zip q[ Telephone[6 �j15 Ol_
ARCHITECT/DESIGNER'S NAME Last �- First
Lic. No: �-
Architect/Designees Address Architect/Designer's E-mail Address
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City State 7_7 Telephone
Telephone
ENGINEER'S NAME Last First Lic. No.
Engineer's Address Engineer's E-mail Address
City State I eft Zip Telephone
CONTRACTOR'S NAME/COMPANY Lic. No. q�i�l Ir j I Class CLOG
Contractor's Address Contractor's E-mail Address
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City State �— Zip — Telephone�Z. i4q 7 0461-7 j
SETBACKS REAR SETBACKS FRONT PERMIT NO. PV ZGZI ^ 2Z 5
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. Z�q rj —Z°7 1
USE ZONE DEVELOPMENT NO 121Z020'iM17 PLAN CHECK FEES $