HomeMy WebLinkAboutU2024-5390 - Permit ApplicationII
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CERTIFIED MAILO RECEIPT
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Certified Mall Fee
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Extra emlces & Fees fedeckbax add lee p pNafeJ
❑Return R.Ipt(banicopy) $ -11 11
❑ Return Recelpt(Woononic) $ M111 rll
Postmark
❑CedMed Mall ReaMtleG Dellvery $ k i
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❑Adult SlgnaWre Required $— -
ElAdultSlgnaW- Restricted Delvery $
Postage
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Total Postage and Fees
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Sent To
Street 8n Apt. No., PYJBoxN.............._.__._.__------..._.._........______.__-
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Form 3600, January 2023 PSN 7530 02 900 9047
See Reverse for Instructions
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❑FeWrn Reoeipt(dectronlc) $ (fill
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❑ celtllled Mall Restricted Dellvery $ k' S
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'Print Form �� Worksheet for Combo Building & Solar Permit Application ou�M ->m
r Comm'[ IISCJtesidential City of Newport Beach -Building Division
,YY NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Xuilding rGrading r—Drainage r—Elec rMech
rPlum CuYdCut F CuYdFill
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Project Address (Not mailing address) r- Flood
j— Fire r Liq r Landslide FN/A Floor Suite No
Description of Work
Use F Const Type F
# Stories #Units (if Res)
Valuation O
Material/Laa nbor i �� V v
New/Add SFF— Remodel SFF_ Garage/New/Add F_
OWNER'S NAME Last A �IDN First
Owner's Address
Owners E-mail Address
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CityState
`Last
Zip[Z72� Telephone /2Q(3 e&D�
APPLICANT'S NAME
F GL/Au ��Vj
First v)
Applicant's Address
Applicant's E-mail Address
PgG/u,A IL, CDII�
City �l/1 �� State
Zip Telephone O)Cq,20991&�c
ARCHITEE'C'TT//DEESIGNNEr/R/S�NAME Last �% % FirstLic. No
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Architect/Designer's Address
Architect/Designer's E-mail Address
A. P, 4)Z,, W1
City State
Zip ���Telephone c' i6V /j�}..�i g/qo
V(( GLif
ENGINEER'S NAME Last Gi First � c.. No. F52 W5
Engineers Address
Engineers E-m it Address
23D COh�rU1E�
j' jw0 .VV �ME
City jVIk& State I V/
Zip q2�2 Telephone :- 035 26tv
CONTRACTOR'S NAME/COMPANY
Lic. No. Class
Contractor's Address
Contractor's E-mail Address
City State F
Zip F_ Telephoned
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
F
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $
November 5, 2024
Debra Blackmon
2 Rue Villars
Newport Beach, Ca.
To Whom it may concern,
I hereby authorize David Claudon to sign and obtain the demolition permit for 2 Rue Villars,
Newport Beach, Ca.
Thankyou,
Debra Blackmon