HomeMy WebLinkAboutX2020-2312 - Permit Application (2)rant roan __ _ VVOri6sneex ruir.vom uo CSL19IOing & %,)Olar rermix 6Applicallo I - gcawi
City of Newport Beach - Building Division x( -i Comm'I r Residential 2®20-2512, NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[;Building F_ -Drainage r!Drainage (-;Flet I-Me�h Plum Cu rd cuts Cu Yd Fill
Project Address (Piot mailing address) C' Flood E Fire (; Liq r Landslide rN/A Floor Suite No
Description of Work UseConst Type
# Storied # Units (if Res)[
Valuation $
New/AddSFF Remodel SF Garage/New/AddF Material/Labor —
OWNER'S NAME Last First
Owner's Address Owner's E-mail Address
City ---__'I State F Zip F_ TelephnneF777777
APPLICANTS NAME Last First
Applicant's Address Applicant's E-mail Address
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City State®P
® Zi I Telephone—
ARCHITECT/DESIGNER'S NAME Last First E Lic. No.
Architect/Designer's Address Architect/Designees E-mail Address
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City State �! Zip F Telephone
ENGINEERS NAME First F— Lic. No.s
Engineers Addr ss Engineer's E-mail Address
City State F Zip Telephoner
CONTRACTOR'S NAME/COMPANY U �J 1 �S Lic. No. GClass
Contractor's Address J U� Contractor's E-mail Address
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City t> --- State C Zip lilt Telephone -7 '5-9'5-9S ) 7? y
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SETBACKS REAR SETBACKS FRONT
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SETBACKS LE ,!r SETBACKS RIGHT %? 6 PLAN CHECK NO. C
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USE ZONE� ' 7 „
DEVELOPMENT NO �� � PLAN CHECK FEES $ ,�� "