HomeMy WebLinkAboutX2021-2477 - Permit Application (2)A
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Print Form Worksheet for Building Combo Permit Application
F- Comm'1 r Residential City of Newport Beach - Building Division o o
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL �•^"
F -Building F- Grading F -Drainage r Elec r Mech r Plum Cu vd Cut Cu Yd Fill F_
Project Address (Not mailing address) Floor Suite No
1111 Bayside Dr., Corona Del Mar, CA 92625
Description of Work
Use
AiEat/ C-y0rvnet,Z
L 7774- IGiN
#Stories #Units (ifRes)
,)I<kAttlttUitsi
Valuation$
Material/Labor
New/Add SFF Remodel SFF-- Garage/New/Add F —',
OWNER'S NAME Last Bayside Square Investments, LLCFirst
Owner's Address
Owner's E-mail Address
220 Newport Center Dr., 11-557
devyn@redwoodwest.com; ben@redwoodwest.com; john@re,
City Newport Beach
State CA Zip 92660 Telephone 949.9452650; 945
APPLICANT'S NAME Last I e, -r -rt 1,- First Gfi12/ S
Applicant's Address
Applicant's E-mail Address
7,7/f'2 4:W>e 2b
-
64nlr
- -
City
State FF Zip !TelephoneF5/--9 -37` 0/30
ARCHITECT/DESIGNER'S NAME
LastFirst �4cvci Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
_..
__
City
-
State F Zip [_— Telephoned
ENGINEER'S NAME Last
First F77777 Lic. No.
Engineers Address
Engineer's E-mail Address
City
State I Zip F_ TelephoneF—
CONTRACTOR'S NAME/COMPANY
Lic. No. Fv7o6 Class r -
Contractor's Address
Contractor's E-mail Address
j�GF/�f7L✓'��/ff/Gi/SLiI�i7�•c✓!�.
City S_�v -
State FF_ _ Zip e;'O Telephone WY -
ENERGY P/C FEE $
FIRE P/C FEE $ PERMIT NO. U
GRADING P/C FEE $
PLANNING P/C FEE $ PLAN CHECK NO.
ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $ /1410 5,_{'4