HomeMy WebLinkAboutXR2023-0425 - Permit Application11 I vvvr nalrccs rvt vur I Imu uUttull IU (A QVI[II 17'CI IIli L Hf:JPIIGdLJC)I7
r Comm] F_ Residential City of Newport Beach Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
uilding F_ Grading F Drainage j—Elec (—Mach j Plum CuvdCut F CuYdFill
Project Address (Not mailing address) F_ F_ Fire F- Liq r Landslide F N/A Floor Suite No
4 4-4 ((Ud R4JL ANZ F_ ��
Description of Work
Use j ConstType_s D
# Stories# Units (if Res)
Valuation$
Material/Labor
New/Add SF ,Z.4 RemodelSF Garage;New/AddF_
OWNER'S NAME Last First S A � -'-
Owner's Address Owner's E-mail Address
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City ( .Y [A Stu (, >/a: State �/ Zip ` 15� Telephone --
APPLICANT'S NAME Last First E}III?• t
Applicant's Address Applicant's E-mail Address
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City"lL�,Sf\ 7,{Ek State Cd� Zip �iJ7J�i1 Telephone7�
ARCHITECT/DESIGNER'S NAME Last p� First Y I --
4.� fit.:` C. T�1 v� L.fJ rd Lic. t� o.
ArchitecL/Designer's Address Architect0esigner's E-mail Address
City F _ State F_ Zip[—Telephonel—
ENGINEER'S NAME Last r( % First Lic No.F—
(
Engineer's Address Engineer's E-mail Address
City � State f - Zip F Telephoned
CONTRACTOR'S NAME/COMPANY � j , � � Lic. No. F--class
Contractor's Address Contractor's E-mail Address
r
Cityr Slate F_ Zip ( Telephone`
SETBACKS REAR SETBACKS FRONT PERMIT NO.) 1RZDZ.3— 04 L j
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. fy- ?JOZ_:S� 034 5
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $