HomeMy WebLinkAboutX2018-2856 - Permit Applicationl,_ I rvvr nsneeL ror vomoo IsuHaing & solar vermlt Application 90_�_Pom,,❑ Comm'I City of Newport Beach- Building Divisioni Residential NOTE: PLAN CHECK FEES DUE AT TIME OFSUBMITTAL
❑Building f7 Grading ❑Drainage ❑Elec ❑Meth ❑Plum Cu Yd Cut J � Cu Yd Fill
Project Address (Not mailing address) r] Flood ❑ Fire ❑ Liq [7 Landslide ❑N/A Floor JJ Suite No
Description of Work`A I' Use Const Type
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# Stories # Units (if Res)[7I—� Valuation $
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New/Add SF Remodel SF Garage/New/Add j Material/Labor i V
OWNER'S NAME Last ��� --]
First I J!yr
Owner's Address Owner's E-mail Address
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CityF-W_ State ZipTelephone ')
APPLICANT'S NAME Last C� First GY I
Applicant's Address Applicant's E-mail Address
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City r ckS ". —� State �] Zip Telephone C
ARCHITECT/DESIGNER'S NAME Last -� First �f Lic. No. E 1—
Architect/Designer's Address Architect/Designer's E-mail Address
City �— StateF-7Zip �I Telephones
ENGINEER'S NAME Last First �— Lic. No.0
(Engineer's Address Engineer's E-mail Address
.City .State �.. 1. Zip TelephoneF7__ 7
CONTRACTOR'S NAME/COMPANY 1 Lic. No. F-7-7 ClassF
Contractor's Address - Contractor's E-mail Address
City State L J Zip[----- J Telephone[-----
SETBACKS
elephonedSETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS. LEFT SETBACKS RIGHT PLAN .CHECK NO. w ��
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $