HomeMy WebLinkAboutX2019-1572 - Permit ApplicationPring F°�"' Worksheet for Co .2116-2018 X20(8-/57Z
(� Comm" Combo Building $ Solar Per
(- Residential City of Newport Beach - Permit Application e�w^ay
NOTE: PLAN CHECK FEES DUE Building
OF SUBMITTAL -
ivision
Buildin
9 r Grading I-Draina e
9 j- Elec r Mech [ Plum
Project Aggress Cu Yd Cut
(Not mailing address) curdFiu
Coventry Flood (` Fire r Liq j'- Landslide r"N/A
-- _ Floor Suite No
Description of Work F,
Replace kitchen and
master bathroom, demo bearinginteriUse or walls, construct 50 s3 Const Type I\i .f. 2nd t—
R-
New/Add SF['
# Stories PF # Units (if Res)7
- _.
R model SF X00
Garage/New/Add Valuation $
OWNER'S NAME F155,000
Las a .. Material/Labor
Owner's Address - - First a
F3 Coventry Owner's E-mail Address -
City Newport Beach
State Ca.
APPLICANT'S NAME Zip 92660 _ Telephone F49 466-3919
Last Lushbaugh Applicant's Address ---- --- _.. First illiam
17191 Citron -
. _ Applicant's E-mail Address -
City Irvine` blushbaugh@aol.com
State Ca.
ARCHITECT/DESIGNER'S NAME Zip 92612 Telephone 49-584-2166
Last Lushbaugh
Architect/Designer's Address - : First illiam
17191 Citron Lic• No. C24867
Architect/Designer's E-mail Address -
City Irvine blushbaugh@aol.com
State Ca. Zip 92612
Telephone49-584-2166
ENGINEER'S NAME L
Last Koujah
Engineer's Address_--- - - - FirstBachar
-- _ Lic. No. 7490
37 Enchanted Engineer's E-mail Address -
City Irvine _ I
State Ca. Zip 92620
CONTRACTOR'S NAME/COMPANY Telephone 949-679-0553 j
CLontntrraacctto-r's AddressClass
city
'a _G� ir� �- Z...... Lic• No. c p
(� y
ontor's E-mail Address
- Cract
State , �' ��-17d✓� .� / {fie �� I
I (- Zip rY el
rJ phone
SETBACKS REAR
ETBACKS LEFT
��- SETBACKS FRONT
USE ZONE ��—'
S�
SETBACKS RIGHT -------- PERMIT NO.
_
DEVELOPMENT NO PLAN CHECK NO, a" '
PLAN CHECK FEES $ y