HomeMy WebLinkAboutX2021-1600 - Permit ApplicationR�'pt rrm wn1 Worksheet for Combo Building & Solar Permit Application
Comm'I jX Residential City of Newport Beach - Building Division XZot I - pq 06
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
XBuil ling F-' Grading F -Drainage [IElec
Address (Not mailing
12 Poppy
F7, Mech F, Plum Cu Yd Cut F _-7, Cu Yd Fill
Flood r_- Fire F, Liq [i Landslide
Description of Work
Upgrade existing elevator to reach 3rd floor: 1. install elevator machinery, 2. install new call
-
New/AddSFRemodel SF16- Garage/New/Add
OWNER'S NAME
Owner's Address
Last retzel First .1 R.
1312 Poppy
City Corona Del Mar - State Ca.
F_N/A Floor
Suite No
Use SFR 1 Const TypeB
# Stories3 ' # Units (if Res)1
Valuation $ 15,000
Material/Labor
- -- --- '
Owner's E-mail Address
Zip 92625 J Telephone 714-810-8374
APPLICANT'S NAME Last Lushbau h
g First illiam
Applicant's Address
Applicant's E-mail Address
17191 Citron
--- -- blushbaugh@aol.com
--
City Irvine- - ---
State Ca Zip 82612 Telephone 949-584-2166
ARCHITECT/DESIGNER'S NAME Last Lushbau h,
17191l Citron 's Address Architect/Designer's esigner
9 First illiam Lic. No. 224867
Architect/Designer's E-mail Address
it '
- -- -___-. blushbaugh@aol.com
- — - -
City Irvine State Ca
Zip 29 Telephone 949-584-2166
92612
ENGINEER'S NAME Last N/A �;
First I Lic. No.F_'
Engineer's Address
City State F
Engineer's E-mail Address
Zip L Telephone
CONTRACTORS NAMEXOMPANY � � Lic. No, Idma_70 Class
--
Contractor's Address Contractor's E-mail Address
City State Zip - Telephone�t�
ISETBACKS REAR
SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USE ZONE DEVELOPMENT NO
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEES $