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HomeMy WebLinkAboutPV2020-013 - Permit ApplicationI_ _:I vvv® noncca w1 vv1111 W WU l JU l l R,. U{ a7Vld1 1 -CI IIIIL F11.li./1KDd LIVII Q.," "Am r Comm'I F_ Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL c . fiBuilding rl Grading rDrainage F-Elec r'Mech ;Plum Cu Yd Cut Cu Yd Filll Project Address (Not mailing address) ri Flood r.7 Fire Liq i LandsliderN/A Floor Suite No z G Z _s Irl; v . Sc,VY Lai �- Description of Work Use I Const Type _i v'i �-�-c.11( v mac•;- Yn-,©ver+; � -�. j�>J fL��� 1� U< �'��,;"-C'rr~ # Stories # Units (if Res)' E(i "- - - New/Add SFF— Remodel SF�— Garage/New/Add �� r✓ Valuation $Material/Labor OWNER'S NAME Last First Owner's Address Owner's E-mail Address City [7.-.— ___ _ State L Zip � Telephone_iJ C) l r�Ej APPLICANT'S NAME Last FV C, i- Jk First Applicant's Address Applicant's E-mail Address City -ice V ly z State C -4 zip 1, Ce 1 �( Telephone7v v G Ut ARCHITECT/DESIGNER'S NAME Last F— First F_ Lic. No. F_i. Architect/Designer's Address - Architect/Designer's E-mail Address ._. .._.. City _._ _.._ __. 77 State F_ Zip �� Telephone[— _7 ENGINEER'S NAME: Last F---- First F— Lic. No.F— Engineer's Address Engineer's E-mail Address City � State F� Zip. F7_- Telephone�_ CONTRACTOR'S NAME/COMPANYLic. No. ln; : 14- )6I' f �j��i l� Class i 7G Contractor's Andress Contractor's E-mail Address' V Ci 1-16 City I r �. State o-:5 Zip z;�l.i I.LI Telephone c; SETBACKS REAR SETBACKS FRONT PERMIT NO ®� ®� SETBACKS LEFT SETBACKS RIGHT PLAN CHECK N0. 0 02 -IOU USE ZONE DEVELOPMENT NO PLAN CHECK FEES $