HomeMy WebLinkAboutXR2022-2258 - Permit ApplicationPrint Form
F- Comm'I IR Residential
Worksheet for Building Combo Permit Application
City of Newport Beach - Building Division a
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL �. 3o ;
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Project Address (Not mailing address)
3 �! Floor Suite No
5 Cherry Hills Lane, NO
Description of Work
Use SFD
remodel kitchen, master bath, bedroom & living room. add new California room & covered deck
# Stories # Units (if Res)[—
adding new & windows
' r
Valuation $ 195,000
Material/Labor
New/Add SF 162 Remodel SF 1521 Garage/New/Add F—
OWNER'S NAME Last Trachtman
First Ben & Kelli
Owner's Address
Owner's E-mail Address
5 Cherry Hills Ln
ktrachtrnan@cox.net
City Newport Beach State CA
Zip 92660 Telephone 949463-0720
APPLICANTS NAME Last
First
Applicant's Address
Applicant's E-mail Address
City I State F—
Zip F— TelephoneF_
ARCHITECT/DESIGNER'S NAME Last Trabert
First Eric Lic. No. I
Architect/Designer's Address
Architect/Designer's E-mail Address
9521 Irvine Center Dr.
eric@etadesign.com
City Irvine State CA
Zip 92618 Telephone 949-861-2244
ENGINEER'S NAME Last Manshadi
First Farhad Lic. No C36840
Engineer's Address
Engineer's E-mail Address
1800 East 16th St., Unit B
ifarhad@esifme.com
City Santa Ana State CA
Zip 92701 Telephone 657-335.4112
CONTRACTOR'SNAMElCOMPANY G✓<'C <(� CV^S7-e�iV C'/-70. Lic No. �Y� ClassF
Contractor's Address
Contractor's E-mail Address
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I(o /�C u vs� /Gd lZr rt"g N/r�t l e-c-L,
City bA;,; _tJ)-/Uww- State j�_
Zip !I Telephone 9(rl
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ENERGY P/C FEE $ FIRE P/C FEE $
PERMIT NO.
GRADING P/C FEE $ PLANNING P/C FEE $
PLAN CHECK NO. • 74mf
ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $