HomeMy WebLinkAboutX2021-2477 - Permit ApplicationPrint Form Worksheet for Building Combo Permit Application aEWr
r Comm'] (! Residential City of Newport Beach - Building Division
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NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL ° •ow `'
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rBuilding r Grading J Drainage F Elec F_ Mech F- Plum cued Cut Cu Yd Fill �
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Project Address (Not mailing address) Floor Suite No
1111 Sayside Dr., Corona Del Mar, CA 92625
Description of Work
Use F7
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# StoriesF_ # Units (if Res)
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Valuation$ F
Material/Labor7_
New/Add SFF Remodel SFr__ Garage/New/Add F —'
OWNER'S NAME Last Bayside Square Investments, LLC' First
Owner's Address
Owner's E-mail Address
2 Newport Center Dr.,11-557
devyn@redwoodwest.com; ben@redwoodwest.com; john@re
City Newport Beach
State CA Zip 92660 Telephone 949.945.2650; 948
APPLICANT'S NAME Last
First
Applicant's Address
Applicant's E-mail Address
271 / 2
Axl-
City %i/Ssjpr/ i%I&30
State w� Zip Telephone 7/�/
ARCHITECT/DESIGNER'S NAME
Last, wave!?- First F—
_�'ST iC�tCi Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City �
State �— Zip F— Telephoned
-
ENGINEER'S NAME Last First F Lic. No.F
Engineer's Address
Engineer's E-mail Address
City
State F Zip I TelephoneF
CONTRACTOR'S NAME/COMPANY
�L.�Z€ Lam/ �Ile Lic.No. 396 e-Z�Class v -
!S
.
Contractor's Address
Contractor's E-mail Address
6/J2
City
State GW Zip Pj9/, Telephone '7/y -
ENERGY P/C FEE $
FIRE P/C FEE $ PERMIT NO. U
GRADING P/C FEE $
PLANNING P/C FEE $ PLAN CHECK NO. ` • !it/!�1
ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $
DEVELOPMENT #
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n ,�
TOTAL FEES PAID $ /1rD {'�