HomeMy WebLinkAboutX2022-1064 - Permit Application& Solar Permit Appi1Catio u\
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Worksheet for Combo Building Building Division�� �
Print Form City of Newport
--- comm" r Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUB ITTA Cu Yd Fill
(-"Building Grading rDranagFlood Fire Liq j- Landslide h j- Plum Cu Yd cutl
ie (- Elec r Mec[`N/A Floor Suite N
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Project Address (Not mailing address)
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F F_
20 COLONIAL LN Use F_ ConstType
Description of Work LAUNDRY ROOM, REPLACE HANDRAILS, AND # Storiesr2 # Units (if Res)F
DELTA 3 REVISION: REMODEL (4) BATHROOMS, —_
LIGHTING. Valuation $ 85000
Garag
e/New/Add �— Material/Labor
New/Add SF Remodel SF 500
First MICHAEL
OWNER'S NAME Last 1PIETSCH Owner's E-mail Address
Owner's Address
0 COLONIAL Telephone
City NEWPORT BEACH
State CA Zip 92660
First ILLIAM
APPLICANT'S NAME Last LUSHBAUGH Applicant's E-mail Address
Applicant's Address
17191 CITRON Telephone
State CA Zip
City IRVINE First ILLIAM Lic. No.
ARCHITECT/DESIGNER'S NAME Last LUSHBAUGH
Architect/Designer's E-mail Address
Architect/Designer's Address
17191 CITRON Telephone
State CA Zip
City FVINE Lic. No.�—
First
ENGINEER'S NAME Last
Engineer's E-mail Address
Engineer's Address
State rJ-
Zip Telephone
City � � � � � ClassF13_
/ Lic. No. �
Q ' I fN , �, u;?
CONTRACTOR'S NAME/COMPANY i p0 pqr Gt �o4 5
Contractor's E-mail Address
Contractor's Address
Zip �— Telephoned
u y 1 91 S
State �-- �
City ZG22- [061-
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SETBACKS FRONT
SETBACKS REAR
SETBACKS RIGHT
SETBACKS LEFT
DEVELOPMENT NO
USE ZONE
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEES $ ���'