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HomeMy WebLinkAboutX2020-1929 - Permit ApplicationPrint i B °, g NA pao13- o(�5 Print Form Worksheet for Co bo uildin ar Permit A lication ,¢�o Comm'I Fx- Residential C [dD City of Newport Beach - Building Division C Li�vo NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL J rBuilding rGrading F-Drainage F-Elec F-Mech F- Plum CuydCut uvdFill Project Address (Not mailing address) r Flood r Fire F- Liq F- Landslide N/A Floor Suite No 720 Pebble Description of Work Use R1 ConstType VB Demo kitchen and laundry rebuild in new location, remoel 4 bathrooms, replace all windows, all l h•i^^ `^ heater; vie unit # Stories # Units (if Ress ,,. ,g��mig,ava _ _ _ �,„�,�nfillsElnkenareas,demewalls. New/Add SF F _ Remodel SF 919 Garage/New/Add Valuation $ F001000 Material/Labor OWNER'SNAME Last Ishokirian First Mahin Owner's Address Owners E-mail Address _ 720 Pebble City Newport Beach State Ca Zip F2625 Telephone 49-278-1187 APPLICANT'S NAME Last Lushbaugh First illiam Applicant's Address Anil--"s E-mail Address 17191 Citron lh@aol.com City Irvine Telephone 9-584-2166 ARCHITECT/DESIGNER'S NAME Last FI \" n st illiam Lic. No. P4867 Architect/Designers Address signers E-mail Address 17191 Citron ._. yn@aol.00m City Irvine State Ica Zip 2612 Telephone 49-584-2166 ENGINEER'S NAME Last Pamfl First Bashar Lic. No. 83129 Engineers Address Engineers E-mail Address 75 Shasta City rona State Fa Zip 2881 Telephone 14-883 4214 CONTRACTOR'S NAME/COMPANY I 7)CY(CQc) dJeSlSY ic`.No. IOZ(OtlassF Contractors Address Contractors E-mail Address imbnou {Slq F 'estCYL2 3`Vdt S ie 13jSL�}� Fvu�l'«<rho. offi i p� ,.tcr� city Fr,_G v State I CP, Zip [ Z Telephone SETBACKS REAR SETBACKS FRONT PERMIT NO. X �2'O— 191301 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. ISqJ ^ ZQ � USE ZONE DEVELOPMENT NO V W PLAN CHECK FEES $ 2?9 22.1 1