HomeMy WebLinkAboutX2021-2959 - Permit ApplicationI ly MA-AIN@1Zf p2
Print l grm Worksheet for Combo Building & Solar Permit Application o�EW�ae
City of Newport Beach - Building Division
Comm'I X. Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL ' w •>
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Project Address (Not mailing address) F Flood F_ Fire F- Liq r, Landslide F -N/A Floor Suite No
7478 Mariners Drive
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Description of Work
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Use R3 Const Type B
Demo Kitchen
completely and rebuild new, Demo interior wall at kitchen, Replace 2 exterior
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# Stories; # Units (if Res)F 1
Valuation $ 60,000
Material/Labor
New/Add SF
Remodel SF 50 Garage/New/Add �—
OWNER'S NAME
Last Greenberg First David
Owner's Address
Owner's E-mail Address
1418 Mariners
City Newport Beach
State Ca. Zip 92660 Telephone 949-394 5300
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APPLICANT'S NAME
Last [Lu shbaugh First Illlann
Applicant's Address
Applicant's E-mail Address
17191 Citron
blushbaugh@aol.com
City Irvine
StateCa. Zip 92612 Telephone 949-584-2166
ARCHITECT/DESIGNER'S NAME Last Lushbaugh First FZm Lic. No. C24867
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
Last Jamil First Bashar Lic. No. Fc83129
Engineer's Address
Engineer's E-mail Address
751 Shasta
City Corona
State Ca. Zip 92881 Telephone 714-883 4124
CONTRACTOR'S NAME/COMPANY TC,�)e Ja i )dw-- Lic. No. 1� ? p(� Class ,
ContrarctorsAddress
Contractor's Address
�E-mail
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SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $
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