HomeMy WebLinkAboutX2022-0240 - Permit ApplicationPrint Form;" X'WorkS3� t for Combo Building & Solar Permit Anolication A_Z�N
- Comm'I �', Residential
City of Newport Beach - Building Division
NOTE:
PLAN CHECK FEES DUE AT TIME OF SUBMITTALFX-Bu
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J ( g � ;Flood [- Fire j-J Liq ��i9dslFloor Suite No
312 PoppyON
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Description of Work
Demo and rebuild Kitchen, Demo and rebuild 4 bathrooms, enlarge closet.
Use"g Const Type F
# Stories # Units (if Res)r 1
Valuation $
Material/Labor [180,000
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New/Add SF None -
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Remodel SF 300' Garage/New/Add N/A
OWNER'S NAME
Last etzel First J.R.
Owner's Address
Owner's E-mail Address
312 Poppy
City Newport Beach
State Ca. Zip 92625 Telephone 714-810-8374
APPLICANT'S NAME
Last Lushbaugh First illiam
Applicant's Address
17191 Citron
Applicant's E-mail Address
blushbaugh@aol.com
City Ir
P 12vine State Ca Zip 926Telephone 949-584-2166
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ARCHITECT/DESIGNER'S NAME Last Lushbaugh First � illiam Lic. No. C24867
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Architect/Designer's Address
9
17191 Citron
ArchitectlDesig_il
E-mailEl
mail
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blushbaugh@aol.com
City Irvine
State Ca. Zip 92612 Telephone 949-584-2166
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ENGINEER'S NAME
Last N/A First Lic. Lic. No.
- - - -- _ F
Engineer's Address
Engineer's E-mail Address
City I
State Zip I ' Telephoned
CONTRACTOR'S NAME/COMPANY
may/ T 7 Lic. No. Q� ClassFF
Contractor's Address
Contractor's E-mail Address
City -
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State /� Zi Tele hone c,'
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SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. j
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $ _�