HomeMy WebLinkAboutXR2023-0255 - Permit Applicationz _ 440 2
-- First I
A1y-isSZS pplicant's Address
Applicant's E-mail Address
city �- �`fNC�1JSSr.I.7lE�Go_._K�i
--- __ State �— i-kl p
__-__-- Zip ^ ----�_ Telephone `jL4�3g
ARCHITFr`Trnrelc.mR -F- - -
- - -' - -- • • �....•v�..n J IYAIVIG
Last
Architect/Designer's Address
City
--- --- - ---..___.. State
ENGINEER'S NAME
Comm'I [ Residential
Cu Yd Cut Cu Yd Fill
Floor Suite N
Use F
— — # Stories # Units (if Res)
Garage/New/Add 1— Valuation $ FtO,
Material/Labor 110a
�(Z.%S`c- First
Owner's Address - IL l(�
Owner's E-mail Address
b2 17 -_S t
City ^^ ''
-..1V._. _. State --
Zip _l /� T I
Worksheet for Building Combo Permit Application
City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE . TIME OF SUBMITTAL
L_,oulloing I ' Grading f-Drainage F Elec
I- Mech F Plum
Project Address (Not mailing address)
(y•_- b(�_ON G T-
of Work
New/Add SFF — Remodel SF F—
OWNER'S NAME
Last
•�• r ua,nry I J IYHMt Last
First I Lic. No. f—
Architect/Designees E-mail Address
Zip F Telephoned—;
Last I X(- First Fh
Engineer's Address - u- / �s _ Lic. No.]
o. �Z]
Engineers E-mail Address
tTL!
City Lv
State Zip q O Telephone
_ 4 6Gz_ rasa
CONTRACTOR'S NAME/COMPANY
- I Lic. No. 63%�r�r�' Class
- �- ---
Contractors Address ----- - --
Contractor's E-mail Address
City n
�' -- State F2Zip �M
FIRE P/C FEE $
GRADING P/C FEE $
Telephone
PERMIT NO.
PLANNING P/C FEE $ PLAN CHECK NO. PL �22J _ C I G tt
ELEC/PLUM/MECH P/C FEE $ I I
DEVELOPMENT # PLAN CHECK FEE $
TOTAL FEES PAID R