HomeMy WebLinkAboutXR2023-2250 - Permit Application1 ®Ve a+VlnuV 1.7UIIUIIIIJ. Cx a "C" r"G11111L 1AViJ1HaLL10H U11
COmm'I r Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building F- Grading r-Drainage r Elec F-Mech Plum
Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) C Flood Fire
r Liq ( Landslide rN/A Floor Suite No
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Description of Work
Use Const Type r—
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New/Add SFr Remodel SF I S" Garage/New/Add F— Valuation $ a(
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OWNER'S NAME
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Owner's Address
Owner's E-mail Address
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APPLICANT'S NAME Last ,`
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Applicant's Address - - - -
Applicant's E-mail Address
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ARCHITECT/DESIGNER'S NAME
Last First —
LIC. No.
Architect/Designers Address Architect/Designer's E-mail Address
CRy State
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ENGINEER'S NAME Last
_ First_ _ Lic No.r--
Engineer's Address
Engineer's E-mail Address
city -
State Zip r-- TelephoneF —
CONTRACTOR'S NAME/COMPANY pr
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Contractor's Address
Contractor's E-mail Address
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SETBACKS REAR SETBACKS FRONT PERMITNO. ZZSO
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. tCZOZ3 .1Q %Q
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $