HomeMy WebLinkAboutX2019-2516 - Permit ApplicationPrint Form
r Comm'I rResidential
Worksheet for Building Combo Permit Application ,��""�am
City of Newport Beach - Building Division $,7099-257 S
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL c<"Foas'
r,Building r— Grading rDrainage r,Elec j—Mech r— Plum Cuvdcut CuvdFill
Project Address (Not mailing address)
Floor Suite No
1218 Highland Drive
F
Description of Work
Use
�-L —�,�l
Construct new steel trellis. l 11
/
#Stories #Units (if Res)
Run un newer con un & ele2?ica rom su -pane to tre is post.
,
Valuation $
SF 205 Remodel SF �
Garage/New/Add �
[30,000New/Add
Material/labo
OWNER'S NAME Last Rosencrans
First Jacqui
Owner's Address
Owner's E-mail Address
1218 Highland Drive
jacquirosencrans@me.com
City Newport Beach State CA Zip 92660 Telephone 949-510-8161
APPLICANT'S NAME Last Rosencrans
First Jacqui
Applicant's Address
Applicant's E-mail Address
1218 Highland Drive
jacquirosencrans@me.com
City Newport Beach State CA
Zip 92660 Telephone 949-510-8161
ARCHITECT/DESIGNER'S NAME Last First F Lic. No. r
Architect/Designers Address
Architect/Designees E-mail Address
City State �®
Zip F Telephone
ENGINEER'S NAME Last Phillips
First Craig Lic. No. C 69673
Engineers Address
Engineer's E-mail Address
2123 Vestal Ave.
City Los Angeles State CA
Zip 90026 Telephone 310-625-2325
CONTRACTOR'S NAME/COMPANY lConscious Environments Inc. Lic. No. 902395 Class C27, B
Contractors Address
Contractors E-mail Address
22605 E. La Palma Ave. Suite 519
info@conscious-environments.com
City Yorba Linda State CA
Zip 92887 Telephone 714-882-4750
ENERGY P/C FEE $ FIRE P/C FEE $
PERMIT NO. I ttct a Jn 4p
GRADING P/C FEE $ PLANNING P/C FEE $
PLAN CHECK NO. 1 87.1,015
ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $