HomeMy WebLinkAboutXR2023-2880 - Permit Applicationnot roan WorKsneet Tor GomDo buitain &Molar vermit A imation �a
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r Cemm'I �` Residential City of Newport Beach - Building Division
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NOTE_ PLAN CHECK FEES DUE AT TIME OF SUBMITTAL `�
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Project Address (Not mailing address) F Flood r— Fire Liq F Landslide (—N A�-Fll000r Suite No
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Description of Work
Use FrTT ConstType FV-,�'
Stories F Units (it Res)s
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New/Add SF l; s6 �r Remodel SF �^ Garage/New'Add I
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Valuation S f
Material!G
OWNER'S NAME Last %Gj 1t31C(4-FVE ITI-aFirst
Owner's Address Owners E-mail Address
City V'p�'K-- �y (-"�{� State 'l,-�.. ZiP 9 GGGG ( Telephone
APPLICANT'S NAME Last t. t f: {\ First F �j {j
Applicant's Address Applicant's E-mail Address
City y J State zipi`6C-k-, Telephone (9�F) 6 g222r2,
ARCHITECT/DESIGNER'S NAME
Last Firsts— Lic No. C/2���5
Architect/Designer's Address Architect/Designers E-mail Address
Ciry `' I State F Zip (--- TelephoneF "
ENGINEER'S NAME Last 6,N < 77 � First i�d'�kd'7�:) Lic No. C 3
Engineers Address Engineer's E-mail Address
l � C u F*Iz, aP o C aSZ F M (^vetvl
City Jfkly (�- f..�/J/'r State �. Zip 2 7 s Telephonz ei 3s--Q_ ieu
CONTRACTOR'S NAME/COMPANY Lic, No. F Class
Contractor's Address Contractor's E-mail Address
City � State F Zip F— Telephone—
SETBACKS REAR SETBACKS FRONT PERMIT NO. X'g20L3 •Z,rDQjO
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK N0`PG20t,j .1,1O0
USE ZONE DEVELOPMENT NO PLAN CHECK FEES S