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HomeMy WebLinkAboutX2022-0067 - Permit ApplicationPr1 Form, : Worksheet for Building Combo Permit A plication a Ear (— Comm'I jR Residential City of Newport Beach - Building Division �,L'�-�Ol�� .oa J NnTF- PI AN CHFCK FEE DUE AT TIME OF SUBMI A 6ZBullding ,. F- Grading r—Drainage 6Z Elec 5Z Mech DZ Plum Cu vd cut 0 Cu Yd Fill 10 Propct AddressFI� Sui te No 165 VistaEnlrada, Newport Beach, Ca 92660 Description of Work Use IV ki ewire per plans; repipe as per previous permit Including hot/cold, DW, gas,., including drywall e air REPLACE like for like, FAU Water heater, bath fans, bathroom fixtures, # Stories 2- # Units (if Res); qz ub-shower-disposer, coo ktop vent, kitchen sink) - — - Valuation $ $22,000 above origin" Material/labor ', New/Add SFs-- Remodel SF 1863 Garage/New/Add �—' OWNER'S NAME Last McIntosh First John Owner's Address Owner's E-mail Address 2201 San Joaquin Plaza 'ohn@jtmc32.com City Newport Beach State Ca zjp 2660 Telephone 07-287-3210 APPLICANTS NAME Last McIntosh First FOhn Applicant's Address Applicant's E-mail Address 201 San Joaquin Plaza •ohn@jtmc32.com City Newport Beach State Ca zip 92660 Telephone 07-287-3210 ARCHITECT/DESIGNER'S NAME Last Fonover First Ftrick Lic. No. -12807 Architect/Designer's Address Architect/Designer's E-mail Address 12041 St. Avenue East Pconover@pca-architect.com City Kalispell Stats Mt ; Zip F9901 Telephone06-314-6393 ENGINEER'S NAME Last Ross First ScottLic. No. -45309 Engineer's Address Engineer's E-mail Address 1800 East 16 th Street, Ste -b COTT@ESIFME.COM City Santa Ana State Ca Zip IgV01 Telephone714-814-2119 CONTRACTOR'S,NAME/COMPANY JOWNERBUILIDER Lic. No. I—Class Contractor's Address Contractor's E-mail Address 2165 Vista Entrada ohn@jtmc32.00m —— City Newport Beach State Ca Zip F2660 Telephone 07-287-3210 //__ ENERGY P/C FEE $ FIRE P/C FEE $ PERMIT NO.�Z CO bb GRADING P/C FEE $ PLANNING P/C FEE $ PLAN CHECK NO. )�j7 ELEC/PLUMtMECH P/C FEE $ PLAN CHECK FEE $ DEVELOPMENT # _ _ aZ©Zz — G�I �j TOTAL FEES PAID $