HomeMy WebLinkAboutXR2023-2251 - Permit ApplicationI " ^ I vwvl vv. gdcc% lug 4+4nln uv uullulllU M a7Vlgl rC11111L M jJtJIIL;QLIOf➢
Comm'] r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building Grading [—Drainage F—Elec F—Mech F—Plum Cu Yd Cut Cu Yd Filll
Project Address (Not mailing address) Flood F— Fire F— Liq F_ Landslide CN/A Floor Suite No
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Description of Work
Use F ConstType
# Stories[T # Units (if Res)
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New/Add SF�— Remodel SF Lr J Garage/New/Add
Valuation S
Material/Labor
OWNER'S NAME Last First erm
Owner's Address Owner's E-mail Address
2A15
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City r �¢Q Ci� State I_t�fL �///�� n ''/ Zip Telephone �_1 ,�`�(�'
APPLICANT'S NAME Last Iw4cravj First '
Applicant's Address Applicant's E-mail Address
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City /wrQ - 6FDvPi State ICA Zip 9 $L7 l Telephone
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ARCHITECT/DESIGNER'S NAME Last First �— Lic. No. r---
Architect/Designer's Address Architect/Designees E-mail Address
City State F Zip �— TelephoneF—
ENGINEER'S NAME Last First �® Lic. No.F—
Engineer's Address Engineer's E-mail Address
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City State I Zip Telephone
CONTRACTOR'S NAME/COMPANY �,�na1 t�eSg cat'e� Lic No. �� 3 Class
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Contractor's Address Contractor's E-mail Address
1221 Ora�gewc �lve L�\30rtre✓I®S: nQ1 feglarQfiah,.ep
City Garden 6y-ov_?-,- State ZA Zip q,,SLITelephone O'y,���_'�Ooz
SETBACKS REAR SETBACKS FRONT PERMIT NO. XRZOZ3.. 2 Z$ l
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. ( 9% q
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $
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