HomeMy WebLinkAboutXR2023-2254 - Permit Applicationevve etauuwu% Iwo vveuruw uullurlry pX a7ll1c1L r-Ul 1111L f1pplit;dLion
Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Project Address (Not
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Description of Work
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New/Add SF�—
OWNER'S NAME
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Remodel
Last
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Suite No
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Garage/New/Add �— ValuatMateriaion $
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Owner's Address
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APPLICANT'S NAME
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Applicant's Address
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Applicant's E-mail Address
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ARCHITECT/DESIGNER'S NAME 7 J
Last First —
Architect/Designer's Address Lic. No.
Architect/Designer's E-mail Address
City _-_ -- ----. - ----- ----- ---
State �— -
ZIP �— Telephone�—
ENGINEER'S NAME Last
First �® ic. No
L.[—
Engineer's Address - -
Engineer's E-mail Address
City -
State - -----
- ZIP �— Telephone
CONTRACTOR'S NAME/COMPANY i J
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Contractor's Address
Contractor's E-mail Address
12Z1 Oran e wood Ave. 4-tziolfren<N�,
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Owner's E-mail Address
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Zip
SETBACKS REAR SETBACKS FRONT PERMIT NO. 7.02.9- 2251q
SETBACKS LEFT �—
SETBACKS RIGHT PLAN CHECK NO3. pj Z Z.,C179
USE ZONE �— 1 ( _�
DEVELOPMENT NO PLAN CHECK FEES $