HomeMy WebLinkAboutX2013-0093 - Permit Application�r— 2.0 `7 3,_ _ X2�13 Mou�93
`I33 Via Lido
Print Farm Worksheet for Building Combo Permit Applic22ation .F�`wPo m Sctwn�
City of Newport Beach - Building Division L42 ,3 �� b3 a
F Comm'] � Residential a.,,,
nlnTl=- PI AN cHPr.K FFF DUE AT TIME OF SUBMITTAL
Building j-Grading F—Drainage if(Elec 5�Mech
9Plum CuYdCut CuvdFlll
Project Address (Not mailing address)
Floor Suite No
Soud
433 Via Lido
Description of Work
Use
SIn�
r0ixct 0.6rNPS Pn�QS
�W�rpOf�S
', . #Stories Units (if Re F
V
All \+ �,a
regre �rvomvou\t�
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Valuatlon$-
New/Add SFF—_ Remodel SF l� .Garage/New/Fldd r_.
Material/Labor
OWNER'S NAME Last Helen Toal Trust (Toap
First Helen
Owner's Address
Owner's E-mail Address
6221 Kawaihae Place
none
city Honolulu State HI d
Zip f;821 Telephone 949-378-2275
APPLICANTS NAME Last Helen Teal Trust (Harp)
First Sharon (Co -Trustee). u 7
Applicant's Address
Applicant's E-mail Address
1651 River St.
sharonharp@cableone.net
City Payette State ID
Zip 83661 Telephone 208-642-0295
ARCHITECT/DESIGNER'S NAME Last—
First —' — Lic, No. r�—
Architect/Designer's Address
Architect/Designer's E-mail Address
City F� State ��'
Zip Telephoned —
ENGINEER'S NAME Last ^-._.,-__
I
� First----_-� Lic. No.��—i
Engineer's Address
Engineer's E-mail Address
City �— � State r_
Zip F_ TelephoneF
Lic. No. Class
CONTRACTOR'S NAME/COMPANY
Contractor's Address
Contractor's E-mail Address
City F State ^._.—.--
iIFEE
Zip F� Telephone _
ENERGY P/C FEE $ FIRE P/C $
25
PERMIT NO. (� ,'t
GRADING P/C FEE $ PLANNING PIC FEE $
PLAN CHECK NO. on ll — `L
ELEC/PLUM/MECH P/C FEE $
PLAN CHECK FEE $
DEVELOPMENT #
TOTAL FEES PAID $