HomeMy WebLinkAboutXC2025-5236 - Permit ApplicationBuilding Permit Application
City of Newport Beach - Building Division
XComm'I ❑ Residential
NOTE: PLAN CHECK FEES ARE DUE AT TIME nF SI iRnniTTni
C9CICORN�P .
uilding ❑ Grading ❑ Drainage ❑ Elec
❑ Mech ❑ Plum Cu Yd Cut Cu Yd Fill
Project Address (Not Mailing Address)*
Q -
Floor =Suite No. ,`7
Description of Work*
*
�V -„ ` � �
`�—''lam' d
��17 �
c✓
Valuation $
(Material/Labor)
�\
# Stories��
# Units (If Res)
New/Add SF E= Remodel SF Garage/New/Add
Owner's Name*
Address
Email Address*
—p
City 2 �' State
Zip Telephone
Applicant's Name*
Address
Email Address* ❑ This is associated with a Civic Account
( p
15 i<nFAt-J
( 1!
City State
Zip Telephone
Archit ct/ es' er' Name
�W�
Address
Email Address
City State
Zip [::—= Telephone
Engineer's Name
Lic. No.
Address
Email Address
City State
Zip E= Telephone
Contractor's Company Name
Lic No.
Address
Contractor's Civic Account Email**
City State
Zip Telephone J
OFFICE USE ONLY PR #
**Note: Licensed Contractors and Owner/Builders are required
Permit / Plan Check No. )(, C Z67,5- a
to have a Civic account in order to obtain a building permit.
Plan Check Fees $
Register now at newportbeachca.gov/civic