HomeMy WebLinkAboutX2021-1959 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application of?EWE m
Comm'I Residential City of Newport Beach - Building Division
NOTE:- PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
jXlBuilding F_ Grading
F-Drainage F_ Elec r Mech i— Plum CuvdCut s CurdFill s
Project Address (Not mailing address) f— Flood F_ Fire F_ Liq F_ Landslide rN/A Floor Suite No
3317 Ocean Blvd
Description of
Use SFR ConstType /B
506 S.F total. Extend deck
Renovate 4 diguardFails
upper 30' (42 S.FJ 1. Demo exist. wrought iron
an
#Stories # Units (if Res)I 1
Valuation $ [150,000
Material/Labor
New/Add 5Fs—
Remodel SF�— Garage/New/Add
OWNER'S NAME
Last Duncan First David
Owner's Address
Owner's E-mail Address
3317 Ocean Blvd.
City Newport Beach
State Ca. Zip 92625 Telephone 949-466-3919
APPLICANT'S NAME
Last Lushbaugh First Fill
Applicant's Address
Applicant's E-mail Address
17191 Citron
blushbaugh@aol.com
City Irvine
State Ca Zip 92612 Telephone949-584-2166
ARCHITECT/DESIGNER'S NAME Last Lushbaugh First illiam Lic. No. 224867
Architect/Designer's Address
Architect/Designer's E-mail Address
17191 Citron
blushbaugh@aol.com
City Irvine
State Ca. Zip 2612 Telephone 949-584-2166
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ENGINEER'S NAME
Last De Vita First Fince Lic. No.
Engineer's Address
Engineer's E-mail Address
16969 Von Karman
City Irvine
State Ca Zip 92606 Telephone 949-474-0502
CONTRACTOR'S NAME/COMPANY
Lic. Nofovo Class
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Contractor's Address
Contractor's E-mail Address
City
State Zip Telephoned
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT CHECK NO. '
USE ZONE
]PLAN
DEVELOPMENT NO Ti Z?�Z' �/ PLAN CHECK FEES $