HomeMy WebLinkAboutX2022-0631 - Permit ApplicationComm'I [- Residential City of Newport Beach - Building Division ¢
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL G1�.o.�"
[—Building [- Grading [-'Drainage j— Elec [- Mech [- Plum Cu Yd Cut Cu Yd Fill F_
Project Address (Not mailing address) f Flood [- Fire r' Liq [- Landslide [-N/A Floor Suite No
l nOl Ef"vEf Z. /�/G Pore �� F_ F
Description of Work
Use F_ConstType
# Stories #Units (if Res)
%6 L �0,7 ��ss %n��
l ° U9/y`ew>77
New/Add SFF_ Remodel SFF—Garage/New/Add F_
Valuation $ %
Material/Labor
OWNER'S NAME Last I bg1F & ,r X A) First I K4� 1-'69
Owner's Address Owner's E-mail Address
�/ (001 V_G ZA) (/A -Fr /,f , Ola- , icr *0 4V IOC
City ��44poyZ�-t ell GSJ State �L Zip g?ij�Gp Telephone Of-7 —,I6� 7
APPLICANTS NAME Last First pq iJ O k?
Applicant's Address Applicant's E-mail Address
S 06 7 N, y5 t/ rVF-`ez—�16LD K6 %n ]"an
City I &)r,/f/I/IIF State I C Zip ��{Ji�S Telephone '///—W65- _ S-7/
ARCHITECT/DESIGNER'S NAME Last First F_
Lic. No.
Arch itect/Designers Address ArchitecttDesigners E-mail Address
City State F Zip F Telephoned
ENGINEER'S NAME Last First F_ Lic. No.F_
Engineer's Address Engineer's E-mail Address
City State Zip F_ Telephoned
CONTRACTOR'S NAME/COMPANY �7 Lic. No. —W-2 633 Class
/dYk �9AfMAs�
Contractor's Address Contractor's E-mail Address
//. IA (19 . C13---.
City ✓l State F?W Zip l2�65 Telephone - // :: 726 —T 7
SETBACKS REAR SETBACKS FRONT PERMIT NO. 1 Cj ZO ZZ - 0631
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. O 2 Z6 _ WZZ