Loading...
HomeMy WebLinkAboutXR2023-0254 - Permit ApplicationE Comm'I [ Residential Worksheet for Building :Combo Permit Application City of Newport Beach - Building Division NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL [;Building F-Grading CDrainage j-Elec FMech (-Plum Cu Yd Project Address (Not mailing address) ------11__S, G Description of New/AddSFF Remodel SFF — Garage/New/Add Cu Yd Fill I - - Floor Suite Nc 1- Use #Stories # Units (if Res) Valuation$ 1d©� Material/Labor i OWNER'S NAME Last IV - t-_L_✓_PG2_� First 146 Owner's Address ---- Owner's E-mail Address city _ State I-_( Zi F— v �---- P 9�Telepbone`7%}I Q /_�•� P. /. „� APPLICANT'S NAME Last Ste; �,.� Applicant's Address - j Z- City ----. State [ tea. a UEZIUMK b NAW Last ArchitecUDesigner's Address - City State LNGINEER'S NAME Last I Engineer's AdddreesssZ Clty �"it-� State r— CONTRACTOR'S NAME/COMPANY Contractor's Address City �. - Ll----- State _.�j n Zip ENERGY P/C FEE $ M C �J __. Lic. No. F— Architect/Designer's E-mail Address Zip r Telephonee—I First �)�- Lic. No. j T L� Engineer's E-mail Address ZipI ._L�/0_S- Telephone -7 /v� GRADING P/C FEE $ FIRE P/C FEE $ ---...— First4.��isi�S ---__--------_' Applicant's E-mail Address 11/fs�SS(rv,7-l`f CUjC. (V4 G i Zip `�7-70-s Telephone. %) First Lic. No. 1 744 � , Class Contractor's E-mail Address ��-%�: Telephone �1 (� i PERMIT NO. PLANNING P/C FEE $ PLAN CHECK NO. ELEC/PLUM/MECH P/C FEE $ DEVELOPMENT# PLAN CHECK FEE $ TOTAL FEES PAID $ XC, Oro- 0f99