HomeMy WebLinkAboutX2021-2121 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division x 2 b� � v I V,Z�
— Comm'I r Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTA
FX—Building F_ Grading (Drainage j— Elec F— Mech
Prninct Address (Not mailing address) F-
Colonial Drive
nesr_rintion of Work
F Plum, CuYdCut I
F_ Fire r Liq F— Landslide
emo and replace kitchen, replace 5 windows, remodel 2 garage door openings Lu I, cxNai lu
-`--1 ..-----
Roof IwcI-'
New/Add SF 214 Remodel SF 200 Garage/New/Add
OWNER'S NAME Last 7Pietsch First rMichael
Owner's Address Owner's E-mail Address
20 Colonial F_
Cu Yd Fill I
F--N/A Floor
— F_
Suite I
F_
Use SFR Const Type FB
# Stories #Units (if Res)F 1 i
Valuation $ 195,000
Material/Labor®�
City INewport Beach State Ca. Zip 92660 Telephone 949-466-3919
APPLICANT'S NAME Last Lushbaugh First illiam
Applicant's Address r
lint's E-mail Address
17191 Citron augh@aol.com
City Irvine
State Ca. Zip Telephone 949-584-2166
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ARCHITECT/DESIGNER'S NAME Last I Lushbaugh First illiam Lic. No. C24867
Architect/Designer's Address Architect/Designer's E-mail Address
17191 Citron blushbaugh@aoLcon
City Irvine
State Ca. Zip 92612 Telephone 949-584-2166
ENGINEER'S NAME Last Jamil
First Bashar Lic. No.rC83129
Engineer's Address Engineer's E-mail Address
751 Shasta
City Corona
State Ca. Zip 92881 Telephone 714-833-4124
CONTRACTOR'S NAME/COMPANY
Contractor's Address
(SRR c' to
City
Lic. No. Class i ;
Contractor's E-mail Address
G �
St�GgA�17D
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State �j/ Zip Telephone
SETBACKS FRONT
PERMIT NO.
M M
SETBACKS REAR
SETBACKS RIGHT
PLAN CHECK NO.
SETBACKS LEFT 1
USE ZONE DEVELOPMENT NO V PLAN CHECK FEES $