HomeMy WebLinkAboutPV2022-0318 - Permit ApplicationF n31 �
Comm'I Residential City of Newport Beach - Building Division o
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMI AL �Foa
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Project Address (Not mailing address) F- Flood [- Firer Liq j- Landslide F-N/A Floor Suite No
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Description,of Work
Use Const Type
Sd�er RV-
# 22 Stories # Units (if Res) ,
valuatio $
New/AddRemodel SF Garage/New/Add Material/L`ebor Z I v a
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d1NNeR'S'NAINE Last `T
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Owner sAddress Owner's -E-mail Address `-
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Applicant's Address
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Applicant's E-mail Address
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City
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Zip C�p �grJ Telephone c`3 �� �{ 16 pf,1 'II J`— =--
AHITECT/�?ESIGNER'S NAIVE
iiCLast First, Lic.No. g82zo l
Architect/Designer's Address,
Architect0esigner's E-mail Address
City _ — _ State f—
ZIP
�- Telephoner — -
ENGINEER'S'NAME Last - First,Lic. No.r—
En.gineer00d ass
Engineer's E,malFAddress` -
City State
Zip
Telephoner
CONTRACTOR'S NAME/COMPANY
�n Ll� C•t.z37 ,t -eye Lic.No. 982?o r Class C C�
Contractors Address
Contractor's E-mailAddress
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City s r 1 / State
Zip 407 SS Telephone
SETBACKS
REAR SETBACKS FRONT
PERMIT NO.
SETBACKS
LEFT SETBACKS RIGHT
PLAN CHECK N0. /fie
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $