HomeMy WebLinkAboutX2019-1788 - Permit ApplicationPrint Form, : Worksheet for Building Combo Permit Application
Comm'I Residential TiP
City of Newport Beach - Building DivIsIo6 q D -2 -Lal
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NOTE: PLAN CHECK FEE DUE AT TIME OF SUB T�AL
FX -Building F?-�] Grading r)-�Drainage f- Elec r- Mech FX_ Plum Cu Yd Cut Cu Yd i,,
Project A(L 5b
'%iress (Not mailing address) Floor uite No
1831 NL)WPORT HILLS DR. E
Description of Work Use [SFR
Demolish existing single family residence and construct new two story single family residence rl
# Storle�s 27: # Units (if Re
with basement and attached two car garage. General site improvements. h
,
Valuation $ F1200,000
New/Add SF 5,647.7 S.F. Remodel SF 10 Garage/New/Add 1505 S.F. Material /Labor
OWNERS NAME Last Ekedal First I Rya n
Owner's Address Owner's E-mail Address
1831 Newport . Hills Dr. E a - Iconcre te.co I m zip F State Newport Beach Fq2660 Telephon
APPLICANT'S NAME Last C.J. Light Associates First I Scott Schaffer
Applicant's Address Applicant's E-mail Address
1401 QuaiI Street # 120 isco I tt@c . jIIg - ht. - net
City I Newport Eleach State FCA Zip 192660 Telephone 949-851-8345
ARCHITECT/DESIGNER'S NAME Last3 r Firsthris i Lic. No. IMM
�
Architect/Designers Address �ect/Deslgner's E-mail Address
1401 Quail Street #12 0 ott@,cjlig t -. net--.
City NewportBeach St ip elephonej'64M51-8345
Sadler ENGINEER'S NAME Last 1 E S/ FM`E;Anq., , FIr6tj"e �S6dl Lic. NoT
_;,e'P§&)T#1 Ad&8s,
-
Engineers Address "EngIn
F100 East 16Th Street, Unit Et'j
I A',
G
'657-335-4106
A" y�elephonel
city Santa Ana
�;,'Lic. No. Class
CONTRACTOR'S NAME/COMPANYb,
";
Contractors Address Contractor's'6"Maji Address
114S6S _6 R
City Telephone '7%C/ a 7VLP
lf,�4 fci )IV[ JW State Zip 4A I
ENERGY P/C FEE $ FIRE P/C FEE $ PERMIT NO.
GRADING P/C FEE $ PLAN CHECK N6.
PLANNING P/C FEE $ 0 - -2-01
ELEC/PLUM/MECH P/C FEE$ PLAN CHECK FEE $
DEVELOPMENT # TOTAL FEES PAID$