HomeMy WebLinkAboutX2019-1790 - Permit ApplicationPrint Form
r Comm -1 r Residential
AZO 1(:�t - 1701 D
Worksheet for Building Combo Permit Application
City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
rX'Building4,, ?Grading
rDrainage r—Elec j—Mech (—Plum Cu Yd Cut r Cu Yd Fill
Proj stAddress (Not mailing address) Floor Suite No
1831 NEWPORT HILLS DR. E �—
Description of Work
Use SFR
Shoring, caissons and retaining walls for new construction residence.
# Stories # Units (if 1
Valuatio `
Material/Labor
New/Add SFF—
Remodel SF Garage/New/Add F—
OWNER'S NAME
Last Ekedal First Ryan
Owner's Address
Owner's E-mail Address
1831 Newport Hills Dr. E.
rekedal@ekedalconcrete.com
City Newport Beach
State CA Zip 92660. TelephoneF—
APPLICANT'S NAME
Last C.J. Light Associates First I Scott Schaffer
Applicant's Address
Applicant's E-mail Address
1401 Quail Street #120
Scott@cjlight.net
City Newport Beach
State CA Zip 92660 Telephone949-851-8345
ARCHITECT/DESIGNER'S NAME Last Light First Chris Lic. No. 22334
Architect/Designer's Address
Architect/Designer's E-mail Address
1401 Quail Street #120
scoff@cjlight.net
City Newport Beach
State CA Zip 92660 Telephone 949-851-8345
ENGINEER'S NAME
Last Purkis First David Lic. No. 42810
Engineer's Address
Engineer's E-mail Address
32521 Carreterra Drive
purkeng@sbcglobal.net
City San Juan Capistrano State CA Zip 92675 Telephone 949-661-6381
CONTRACTOR'S NAME/COMPANY Lic. No. F Class r
Contractor's Address
Contractor's E-mail Address
City
State F— Zip TelephoneF--
ENERGY P/C FEE $
FIRE P/C FEE $ PERMIT NO.
GRADING P/C FEE $
PLANNING P/C FEE $ PLAN CHECK N0. 1-) • '
ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $