HomeMy WebLinkAboutX2012-3258 - Permit ApplicationX 012-3259
1771 Skssex L41
Worksheet for Building Combo Permit Application `@
r Comm'l fX— Residential City of Newport Beach - Building Division a
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL �aF'
("Building rGrading rDrainage F9Elec F—Mech rPlum CurdCut[-- CuydFill F_
Project Address (Not mailing address)
Floor suite No
1221 Sussex Lane, Newport Beach 92660--,
Description of Work
Use
6d
M®�v�
# Stories #Units hf Res
� 1
LW
Valuation $
Valuation $ r 1—
111
New/Add 6FF Remodel 5FF
Garage/New/Add F
OWNER'S NAME Lest Blower
First Jeff
Owner's Address
Owner's E-mail Address
12.21 Sussex Lane
City Newport Beach State CA Zip 92660 Telephone 7146586197
APPLICANT'S NAME Last rcalafata _
First Wes
Applicant's Address
5173 Waring Rd #34
Applicant's E-mail Address _
wes@calafata.com u
City San Diego State CA
Zip 92120 Telephone 6192793006
ARCHITECT/DESIGNER'S NAME Last � � First F_ Lit, No.
Architect/DesignersAddress
Architect/Designer's E-mail Address
City State
Zip TelephoneF
ENGINEER'S NAME Last _
First[—
irsti—Lit. No.[ —
Engineers Address
Engineer's E-mail Address
�- .. _
City State
Zip i Telephone
CONTRACTOR'S NAME/COMPANY Calafato Construction & Electric, Inc Lit, No. 845860 Class 60
Contractor's Address
5173 Waring Rd #34
Contractor's E-mail Address
wes@calafata.com
City San Diego State CA
Zip 92120 Telephone 6192793006
ENERGY P/C FEE $ FIRE P/C FEES
PERMIT NO. —
GRADING P/C FEE $ PLANNING PfC FEE $
PLAN CHECK
ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $