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HomeMy WebLinkAboutX2018-3559 - Permit ApplicationX 20 [g - 3s59 Print Form Worksheet for Combo Building & Solar Permit Application City of Newport Beach - Building Division F Comm'I r Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL SRI rXBuilding FGrading rDrainage rElec [Mech r, Plum Cu Yd Cut Cu Yd Fill Project Address (Not mailing address) CFlood re r Liq i— Landslide rN/A Floor, No 7 Westrid e 9 Description of Work Use Const Type V15 # Stories #Units (if Res) 1. Remodel Kitchen. 2. Remodel Master Bath. 3. Remodel 2nd bathroom. Valuation $ New/Add SFF— Remodel SF 200 Garage/New/Add F_ Material/Labor F301 00 OWNER'S NAME Last kvilson First Susan Owner's Address Owner's E-mail Address Westridge City Newport Beach State Ca Zip 92660 Telephone 949-466-3919 APPLICANT'S NAME Last Lushbaugh First illiam Applicant's Address Applicant's E-mail Address 17191 Citron blushbaugh@aol.com City Irvine State Ca. Zip 92612 Telephone 949-584-2166 ARCHITECT/DESIGNER'S NAME Last Lushbaugh First IVAliam Lic. No. F24867 Architect/Designer's Address Architect/Designer's E-mail Address 17191 Citron blushbaugh@aol.com City Irvine State Ca Zip 92612 Telephone949-584-2166 ENGINEER'S NAME First —' Lic. No.F — Last Engineer's Address Engineer's E-mail Address City State F Zip I Telephoned .. CONTRACTOR'S NAME/COMPANY I T7� A 0 l�►`t' ` KU ,j5+(W�©,� Lic. No. (1QQ60� Class a Contractor's Address Contractor's E-mail Address gw/�/en rG�'s 6�i37AG ti City Pel°% fin. State �— Zip !jW 2 Telephone `„-f1 V5T •' SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. Z"118 USE ZONE DEVELOPMENT NO PLAN CHECK FEES $