HomeMy WebLinkAboutX2021-3133 - Permit ApplicationPrint Form
I— Comm'[ fX Residential
Worksheet for Building Combo Permit. Application "r
City of Newport Beach - Building Division '` 4
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
()(Building I— Grading j—Drainage f— Elec F_ Mech F Plum cuxdeutF Cu Yd Fill
Project Address (Not mailing address) Floor suite No
226 Jasmine Ave., CDM F_
Description of Work
Use F
Demo single family residence, 1284 SQFT Z%
#Stories #Units (if Resp
k Novo e
New/Add SFr_ Remodel SF1__ Garage/New/Add'F_
Valuation S
Material/Labor Zlc 9aO'y
OWNER'S NAME Last 226 Jasmine, LLC First
Owner's Address Owner's E-mail Address
23986 Aliso Creek Road, STE 112 jami@jfbhomes.com
City IlLaguna Niguel _--� state CA zip 92677 Telephone 888-463-2111
APPLICANT'S NAME Last JFB Custom Homes First
Applicants Address Applicant's E-mail Address
23986 Aliso Creek Road, STE 112 jami@jfbhomes.com
City I Laguna Niguel state f CA zip f 92677 Telephone' 888-463-2111
ARCHITECT/DESIGNER'S NAME Last First —
Lic. No.
ArchiiectfDesigner'sAddress ArchitectlDesigner's E-mail Address
City I State F_ Zip [— Telephoned
ENGiNEER'SNAME Lastr � First Lc:No.F—
Engineers Address Engineer's E-mail Address
city State r Zip F Telephone[—
CONTRACTOR'S NAME/COMPANY JFB Custom Homes Lic.No. 1045525 ClassFB
Contractor's Address Contractors E-mail Address
23986 Aliso Creek Road, STE 112 jami@jfbhomes,com
city Laguna Niguel state CA Zip92677 Telephone 888-463-2111 p40t 1 w7%
ENERGY PIG FEE $ FIRE PIC FEE $ PERMITNO. XZOZI-3133 Xzo2 i-313°1 !
GRADING PIG FEE $ PLANNING PIC FEE $ PLAN! CHECK No. Z % f Z—Z OZ I
ELECIPLUMIMECH PIC FEE $ PLAN'. CHECK FEE $
DEVELOPMENT# D202t-060et TOTAL FEES PAID$