HomeMy WebLinkAboutX2021-2285 - Permit ApplicationvvUIRWIVUL for V01no0 ou11uling & bolar vermin Application
Comm'I r Residential City of Newport Beach - Building Division a
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NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL J5"oar.>
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Project Address (Not mailing address) r Flood r` Fire F- Liq r Landslide FN/AFloor Suite No
Ill '7 t-4%, as GEwT:rn- 9G,JE N6vPotiT Sac-wcH GA °I26Go
Description of Work
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Use r, Const Type p IS
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#Stories[ # Units (if Res) �
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Valuation S
Material/Labor11151007
New/Add SFF Remodel SF
Garage/New/Add ��
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OWNER'S NAME Last
C3ENh%A0E'S-
First DAVtb
Owner's Address
Owner's E-mail Address
tg X184 PAc ftc Si.
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City
State Zip V 6°I0Z TelephoneF-_
APPLICANT'S NAME Last
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First I CA vLL
Applicant's. Address
Applicant's E-mail Address
71-I5' E. a SY•
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City i.cr,.Cn vSC,,,Lrt
. State Llc,%
zip Gifj—bo Z Telephone qty 546 qvm
ARCHITECT/DESIGNER'S NAME
Last
-V111.1.,_AWIS
First HYLA DI �_./ LicNo• FE 566 09
Architect/Designer's Address
Architect/Designer's E-mail Address -
747 E• 3R•o 51-
$2A0•Ivt111tgw15(e %MDG-Sl11.Cabvl
City ut A 1wicl+
State GI's
zip [_ tO% Z� - Telephone
I S�o2 6zf
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ENGINEER'S NAME Last�G(--
NN —
First pC� Lic. No. m3 o S 5-�
Engineer's Address
Engineer's E-mail Address
1301 S01rNaja ';Lvo
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w����wlNsesioN�Esau.c�w,
City (vESSLt�k E
State r�
zip 5 626 Z Telephone l 1 32-g 5-x,1--)
CONTRACTOR'S NAME/COMPANYLic.
No.10 -11 WW6�� Class 53---
Contractor's Address
.Contractor's E-mail Address "
R �.F.�c�lOJol�'io�1
ouvc[J
�1 G ��Ori DV19R`P,ir'aii,(;ar
City 5 i�
State W I
zipJ�� 7- Telephone Z�Z`�Si`10o®�
SETBACKS REAR
SETBACKS FRONT
PERMIT NO. s
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK N0.
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $