HomeMy WebLinkAboutPV2023-0106 - Permit Application1--Li -, u _ - i WVVIRUIMUL IVF %,UIKIUU OU11U1119 a, oviar r-ermix iAppnc;aiion
F_ Comm'] 0 Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL spa R - Q (YD
VBuilding rGrading F-,-.Drainage F, Elec F_. MeCh Fu Yd F111
Plum CuC, yd Cut F F711,
Project Address (Not mailing address) F7 Flood F7 Fire LIq - Landslide ,N/A F, F r Floor Suite No
Description of Work
Use ConstType
F
_kl.j
D, 410b 1
;F Stories#Units (if Res)EA
i
i
—J
Valuation 12 - 006
Materia(Aabor
LLL
New/Add SF Remodel Garage/New/Addr—__--_-7-
OWNER'S NAME Last t/j C_ ff First
I - -
Ownees Address Owners E-mail Address
ciy State [CF Zip Telephone [(Qqa",
APPLICANT'S NAME Last First
Applicants Address Applicant's E-mail Address
7
City State zip /I Z)
I Telephone
ARCHITECT/DESIGNER'S NAME Last I First Lic. No.
_7
Architect/Designer's Address ArchiteGoesigners E-mail Address
-----
city state Zip Telephone
ENGINEER'S NAME Last L First F J, Lic.
Engineers Address Engineer's E-mail Address
L_ ____
City State zip Telephone
F
CONTRACTOR'S NAME/COMPANY L-L Lic. No. Class
Contractors Address Contractor's E-mail Address
city State Zip Telephone
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. -
USE ZONE DEVELOPMENT NO PLAN CHECK FEES$
2.