HomeMy WebLinkAboutXR2022-2569 - Permit Applicationr', Comm1 rx-1 Residential
Worksheet for Building Combo Permit Application /G( o� °�
City of Newport Beach - Building Division !� �1%e�%j� %SKI l
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL 5u� ^''
R'Building C Grading rDrainage r' Elec F7 Mech
r,. Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address)
Floor Suite No
4823 River Avenue, Newport Beach CA 92663
Description of Work
Use
Remove 1 two car garage door and install 2 one car doors. Build partition wall inside garage
# Stories', #Units (if Res)!
Fz-
and Install out ets Tor garage c1oor motors.
Valuation $
Material/Labor ) o,
New/Add SF �-- -- Remodel SF O� g, Garage/New/Add',
OWNER'S NAME Last Mardirossian First Garo
Owner's Address
Owner's E-mail Address
6311 Wilshire Blvd
garo@garolaw.com
City Los Angeles State CA
Zip 90048 j Telephone (323)855-7007
APPLICANTS NAME Last Malam
First Ismail
Applicant's Address
Applicant's E-mail Address
6311 Wilshire Blvd
ismail@garolaw.com ......... ....
City Los Angele11 s State CA i
Zip 90048 Telephone (661)803-5229
ARCHITECT/DESIGNER'S NAME Last Keolyan _..
First Mlhran Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
mkeolyan@yahoo.com
City (� State
F
Zip Telephone (323)646-0564
ENGINEER'S NAME Last Orcieluncak
First Sayat Lic. No. C77182
Engineer's Address
Engineer's E-mail Address
15445 Ventura Blvd. #25
marsaysayat@gmail.com j
State rC
City rS�herman Oaks�A ,
Zip 91403 Telephone (818)926 7789
CONTRACTOR'S NAME/COMPANY OB
Lic. No. Class
Contractor's Address
Contractor's E-mail Address
City F State
.---..-- - ------._:
Zip �Telephone�l
ENERGY P/C FEE $ FIRE P/C FEE $
PERMIT NO.
GRADING P/C FEE $ PLANNING P/C FEE $
PLAN CHECK NO.
ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $