HomeMy WebLinkAboutX2019-1761 - Permit Applicationx"G (`I - (7& 1
Print Form Worksheet for Building Combo Permit Application
F- Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE ¢LIE AT TIME OF SUBMITTAL
rBuilding r Grading
rDrainagelec X Mech r lura Cu Yd Cut r Cu Yd Fill F
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Project Address (Not mailing Floor Suite No
2828 Light House Ln F-,—'
Description of Work
Use
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Remove and Replace Vanity, Countertop and sinks in existing location/footprint. Replace
# Stories # Units (if Res)s
. Installnew umidistat sensor. Replace Toilet
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Valuation $ 4500.00
Material/Labor
New/Add SFF —
Remodel SF 60 Garage/New/Add F—
OWNER'S NAME
Last Abad -Santos First Gregorio
Owner's Address
Owner's E-mail Address
2828 Light House Ln
City Corona Del Mar
StateCA Zip 92625 Telephone (949) 718-0684
APPLICANT'S NAME
Last Mills First Mike
Applicant's Address
Applicant's E-mail Address
6611 Longfellow Drive
mmills2consulting@gmail.com
City Buena Park
State CA Zip 90620 Telephone 714-336-5519
ARCHITE T/DESIGNER'S NAME Last First �-
Lic. No.
Architect/D i net's AdderArchitecUDesigner's
E-mail Address
City �
State r— Zip F—' TelephoneF_
ENGINEER'S NAME
Last First F_ Lic No.1�'
Engineer's Address
Engineer's E-mail Address
City
State —, Zip r Telephone
CONTRACTOR'S NAME/COMPANY JAMERICAN HOME REMODELING INC Lic. No. 80 029 ss B, C 36
Contractor's Address
7 ,,Gontr -mail Address
4375 PRADO RD SUITE 108 ellice@goahr.c�
City Corona
State Zip 928 T lephone (951) 520-0654
ENERGY P/C FEE $
FIRE P/ FEE $ P RMIT NO.
GRADING P/C FEE $
PLANN G P/C F LAN CHECK NO.
ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $