HomeMy WebLinkAboutX2021-0288 - Permit ApplicationAP201- WT
Worksheet for Combo Building & Solar Permit Application
r Comm'[ Residential City of Newport Beach - Building Division
JK NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
r',Building Grading
F-Drainage jX'.Elec �IMech Plum cued t_ cuvdFill F
Project Address (Not mailing address) C! Flood r', Fire F Liq Landslide C'N/A Floor Suite No
3317 Ocean Blvd.
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Description of Work
Use R3 Const Type VB�'
Demo and replace kitchen, demo and replace 5 bathrooms, replace sliding glass doors and
'' ys emt;e resldenee, demo
and replace fireplace.
#Stories # Units (if Res)
Valuation $
Material/Labor
1000
New/Add 5Fr
Remodel SF 619 Garage/New/Add
OWNER'S NAME
Last Duncan First David
Owner's Address
Owner's E-mail Address
3317 Ocean Blvd.
City Corona Del Mar
State Ca. Zip 92625 Telephone 949- 99- 919 r/®/V IA
APPLICANT'S NAME
Last Lushbaugh First William /
Applicant's Address
Applicant's E-mail Address t�
17191 Citron
blushbaugh@aol.com
City Irvine
State Ca Zip 92612 Telephone949-5842166
ARCHITECT/DESIGNER'S NAME Last Lushbaugh _ First william 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.C83129
Engineer's Address
Engineer's E-mail Address
I751 Shasta
City Corona
Slate Ca. Zip 92881 Telephone 714-883-4124
CONTRACTOR'S NAME/COMPANY-r4 Lic No. Class[ -.
i
Contractor's Address
Contractor's E-mail Address
L911 0, L'o Uj AlaCSl9,1- l9tA'(3At- raJcs`t
City N'Fd"�er-m-,......-...
-.��, State F� zip p�gD2, Telephone71r♦41_9gv
SETBACKS REAR
SETBACKS FRONT PERMIT NO. ?jg
ETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. Q?j 0�.'?�p"z_4
SE ZONE
DEVELOPMENT NO PLAN CHECK FEES $
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