HomeMy WebLinkAboutX2019-3814 - Permit Application (3)Print Form Worksheet for Building Combo Permit Application �"f�Po"'m
City of Newport Beach - BuildingDivision
Comm'I R Residential NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
fjZBuilding rGrading
f—Drainage RElec RMech
Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address)
Floor suite No
20272 Spruce Ave
I �—
Description of Work
Use
A r_irl'finn R ronnuat'nn of exist
nq residence
# StorlesF2— # Units (if Res)F—
New/Add SF 1,952
Remodel SF 1,087 Garage/New/Add F
Valuation$ F325000
Material/Labor
OWNER'S NAME
Last Sharif
First Nima
Owner's Address
Owner's E-mail Address
1401 Quail St. #105
nimasharif@gmail.com
City Newport Beach
State CA
Zip 92660 Telephone F9496777999
APPLICANTS NAME
Last Sharif
First Nima
Applicant's Address
Applicant's E-mail Address
1401 Quail St. #105
nimasharif@gmail.com
City Newport Beach
State CA
Zip 92660 Telephone 9496777999
ARCHITECT/DESIGNER'S NAME Last First F Lic. No. F—
Architect/Designer's Address
Architect/Designer's E-mail Address
City �
State F
Zip [_ Telephoned
ENGINEER'S NAME
Last Rezaei
First Ali Lic. No. 41068
Engineer's Address
Engineer's E-mail Address
18021 Skypark Circle #E2
ali@rce-eng.com
City Irvine
State CA
Zip 92614 Telephone F9498802866
CONTRACTOR'S NAME/COMPANY O
Lic. No. Class�—
Contractor's Address
Contractor's E-mail Address
City F
State
Zip [ Telephoned
ENERGY PIC FEE $
FIRE P/C FEE $
PERMIT NO. Crj��1
GRADING P/C FEE $
PLANNING P/C FEE $
77(
PLAN CHECK NO. v- "!�I
ELEC/PLUM/MECH P/C FEES
PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $