HomeMy WebLinkAboutX2007-1493 - Permit Application110DI q b
Worksheet for Building combo Permit A piphicItion - N
Please print 3 copies
City of Newport Beach - Building Department us,
F-,.,Building r7 Grading F-Drainage r—, Elec Mech Plum
1. Project Address (Not mailing address)
Tenant Name(lf Applicable)
.. .......... .. ...... .... .....
2. Description of Work
r7 New f—, Add r7, Alter r—,.Demo TOTAL HOUSE SF F777777
TOTAL GARAGE SF
F7 3. Owner's Name Last I vav
........
Owner's Address
City p, State [�.. Zip
Name
Floor Suite No
F77
# Units (if Residential)
...... ........
Use
Valuation $
# Stories F7
Cu Yd Cut
Cu Yd Fill
First r
Owner's E-mail Address
First FD�......................1 Lic. No.
Arcrutectiuesigner's-Aumvss Architect/Designer's E-mail Address
........... .
City State ZipF6f Telephon 75
. ..... . ..
OFFICE USE ONLY ENERGY P/C FEE $
PERMIT NO.
GRADING P/C FEE $
PLAN CHECK NO.
Rev 1118107 ELEC/MECH/PLUM P/C PLAN CHECK FEE $